| Eartherapy | |
|
354 W Sunnyside Rd Suite D Idaho Falls ID 83402-4644 | |
| (208) 528-6853 | |
| (208) 528-6888 |
| Full Name | Eartherapy |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 354 W Sunnyside Rd, Idaho Falls, Idaho |
| Authorized Official Name and Position | Stephanie Ann Schoen-orr (OWNER) |
| Authorized Official Contact | 2085286853 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eartherapy 354 W Sunnyside Rd Suite D Idaho Falls ID 83402-4644 Ph: (208) 528-6853 | Eartherapy 354 W Sunnyside Rd Suite D Idaho Falls ID 83402-4644 Ph: (208) 528-6853 |
| NPI Number | 1154639714 |
|---|---|
| Provider Enumeration Date | 09/16/2010 |
| Last Update Date | 09/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154639714 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | LCPC-3187 (Idaho) | Primary |
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