| Genesis Counseling And Psychological Services Inc | |
|
1323 S Five Mile Rd Boise ID 83709-1306 | |
| (208) 375-7777 | |
| (208) 375-7598 |
| Full Name | Genesis Counseling And Psychological Services Inc |
|---|---|
| Speciality | Psychologist |
| Location | 1323 S Five Mile Rd, Boise, Idaho |
| Authorized Official Name and Position | Neal A Boliou (OWNER) |
| Authorized Official Contact | 2083757777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Counseling And Psychological Services Inc 1327 S Five Mile Rd Boise ID 83709-1306 Ph: (208) 375-7777 | Genesis Counseling And Psychological Services Inc 1323 S Five Mile Rd Boise ID 83709-1306 Ph: (208) 375-7777 |
| NPI Number | 1912238296 |
|---|---|
| Provider Enumeration Date | 01/26/2010 |
| Last Update Date | 09/13/2017 |
| Medicare PECOS PAC ID | 7517238405 |
|---|---|
| Medicare Enrollment ID | O20170914004200 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912238296 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TF0000X | Psychologist - Family | (* (Not Available)) | Primary |
| Provider Name | Neal A Boliou |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295881480 PECOS PAC ID: 9234274887 Enrollment ID: I20100306000272 |
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