Neider Counseling Pa | |
1522 Elk Creek Dr Idaho Falls ID 83404-8322 | |
(208) 552-0920 | |
(208) 529-2564 |
Full Name | Neider Counseling Pa |
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Speciality | Social Worker - Clinical |
Location | 1522 Elk Creek Dr, Idaho Falls, Idaho |
Authorized Official Name and Position | Donevan Neider (OWNER) |
Authorized Official Contact | 2085520920 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Neider Counseling Pa 1522 Elk Creek Dr Idaho Falls ID 83404-8322 Ph: (208) 552-0920 | Neider Counseling Pa 1522 Elk Creek Dr Idaho Falls ID 83404-8322 Ph: (208) 552-0920 |
NPI Number | 1508056318 |
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Provider Enumeration Date | 07/27/2007 |
Last Update Date | 06/22/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508056318 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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