| Jay W. Webb, Ph.d., P.a. | |
|
2304 N. Cole Rd. Suite B Boise ID 83704 | |
| (208) 376-0453 | |
| (208) 376-0477 |
| Full Name | Jay W. Webb, Ph.d., P.a. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2304 N. Cole Rd., Boise, Idaho |
| Authorized Official Name and Position | Jay W. Webb (OWNER) |
| Authorized Official Contact | 2083760453 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jay W. Webb, Ph.d., P.a. 2304 N. Cole Rd Suite B Boise ID 83704 Ph: (208) 376-0453 | Jay W. Webb, Ph.d., P.a. 2304 N. Cole Rd. Suite B Boise ID 83704 Ph: (208) 376-0453 |
| NPI Number | 1093844474 |
|---|---|
| Provider Enumeration Date | 03/03/2007 |
| Last Update Date | 11/06/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093844474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY-360 (Idaho) | Primary |
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