| Epic Psychological Services, Pllc | |
|
2273 E Gala St Suite 100 Meridian ID 83642-7289 | |
| (208) 898-8999 | |
| (208) 898-8989 |
| Full Name | Epic Psychological Services, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 2273 E Gala St, Meridian, Idaho |
| Authorized Official Name and Position | Ryan J Hulbert (OWNER) |
| Authorized Official Contact | 2088988999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Epic Psychological Services, Pllc 24108 Ten Davis Rd Parma ID 83660-7212 Ph: (208) 898-8999 | Epic Psychological Services, Pllc 2273 E Gala St Suite 100 Meridian ID 83642-7289 Ph: (208) 898-8999 |
| NPI Number | 1861759854 |
|---|---|
| Provider Enumeration Date | 04/16/2012 |
| Last Update Date | 04/16/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861759854 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY-282 (Idaho) | Primary |
| 103TC0700X | Psychologist - Clinical | PSY-282 (Idaho) | Secondary |
| 103TC1900X | Psychologist - Counseling | PSY-282 (Idaho) | Secondary |
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