| Northwest Psychiatric Associates Pa | |
|
1115 Ironwood Drive Coeur D Alene ID 83814-4936 | |
| (208) 765-0955 | |
| (208) 765-6972 |
| Full Name | Northwest Psychiatric Associates Pa |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1115 Ironwood Drive, Coeur D Alene, Idaho |
| Authorized Official Name and Position | George Jackson Ullrich (PRESIDENT) |
| Authorized Official Contact | 2087650955 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Psychiatric Associates Pa Po Box 1356 Coeur D Alene ID 83816-1356 Ph: (208) 765-0955 | Northwest Psychiatric Associates Pa 1115 Ironwood Drive Coeur D Alene ID 83814-4936 Ph: (208) 765-0955 |
| NPI Number | 1316023567 |
|---|---|
| Provider Enumeration Date | 10/31/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316023567 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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