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788 Eastland Dr Twin Falls ID 83301-6856 | |
| (208) 734-1281 | |
| (208) 734-1282 |
| Full Name | |
|---|---|
| Speciality | Psychologist |
| Location | 788 Eastland Dr, Twin Falls, Idaho |
| Authorized Official Name and Position | James M Schroeder (CEO) |
| Authorized Official Contact | 2087343312 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
794 Eastland Dr Twin Falls ID 83301-6856 Ph: (208) 734-3312 | 788 Eastland Dr Twin Falls ID 83301-6856 Ph: (208) 734-1281 |
| NPI Number | 1871673889 |
|---|---|
| Provider Enumeration Date | 10/16/2006 |
| Last Update Date | 02/26/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871673889 | NPI | - | NPPES |
| 002547006 | Medicaid | ID |
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