| Michael J. Eisenbeiss, Sr. Dba Boise Psychological Services | |
|
315 North Allumbaugh Street Boise ID 83704 | |
| (208) 376-3546 | |
| (208) 376-9792 |
| Full Name | Michael J. Eisenbeiss, Sr. Dba Boise Psychological Services |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 315 North Allumbaugh Street, Boise, Idaho |
| Authorized Official Name and Position | Michael J Eisenbeiss (OWNER) |
| Authorized Official Contact | 2083763546 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael J. Eisenbeiss, Sr. Dba Boise Psychological Services 315 North Allumbaugh Street Boise ID 83704 Ph: (208) 376-3546 | Michael J. Eisenbeiss, Sr. Dba Boise Psychological Services 315 North Allumbaugh Street Boise ID 83704 Ph: (208) 376-3546 |
| NPI Number | 1851454250 |
|---|---|
| Provider Enumeration Date | 12/18/2006 |
| Last Update Date | 06/09/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851454250 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY57 (Idaho) | Primary |
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