| Integrated Beahvioral Healthcare, Llc | |
|
1621 N 3rd St Ste 1100 Coeur D Alene ID 83814-3381 | |
| (208) 765-4509 | |
| Not Available |
| Full Name | Integrated Beahvioral Healthcare, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1621 N 3rd St Ste 1100, Coeur D Alene, Idaho |
| Authorized Official Name and Position | Craig Stempf (PSYCHOLOGIST ,OWNER) |
| Authorized Official Contact | 2087654509 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Beahvioral Healthcare, Llc 1621 N 3rd St Ste 1100 Coeur D Alene ID 83814-3381 Ph: (208) 765-4509 | Integrated Beahvioral Healthcare, Llc 1621 N 3rd St Ste 1100 Coeur D Alene ID 83814-3381 Ph: (208) 765-4509 |
| NPI Number | 1356673792 |
|---|---|
| Provider Enumeration Date | 02/10/2010 |
| Last Update Date | 02/10/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356673792 | NPI | - | NPPES |
| 003530500 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (Idaho) | Secondary |
| 103T00000X | Psychologist | (Idaho) | Primary |
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