| Human Dynamics And Development | |
|
2267 Teton Plz Idaho Falls ID 83404-6486 | |
| (208) 522-0140 | |
| (208) 524-7335 |
| Full Name | Human Dynamics And Development |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2267 Teton Plz, Idaho Falls, Idaho |
| Authorized Official Name and Position | Kylie Hansen (OFFICE MANAGER) |
| Authorized Official Contact | 2085220140 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Human Dynamics And Development 2267 Teton Plz Idaho Falls ID 83404-6486 Ph: (208) 522-0140 | Human Dynamics And Development 2267 Teton Plz Idaho Falls ID 83404-6486 Ph: (208) 522-0140 |
| NPI Number | 1659816528 |
|---|---|
| Provider Enumeration Date | 12/30/2016 |
| Last Update Date | 12/30/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659816528 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 35820 (Idaho) | Primary |
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