| Pain Management Psychology | |
|
2180 W Ironwood Center Dr Coeur D Alene ID 83814-2639 | |
| (208) 676-0926 | |
| (208) 772-5969 |
| Full Name | Pain Management Psychology |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2180 W Ironwood Center Dr, Coeur D Alene, Idaho |
| Authorized Official Name and Position | Laverl H. Wilhelm (PSYCHOLOGIST) |
| Authorized Official Contact | 2086760926 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pain Management Psychology 212 W Ironwood Dr Ste D311 Coeur D Alene ID 83814-1403 Ph: (208) 676-0926 | Pain Management Psychology 2180 W Ironwood Center Dr Coeur D Alene ID 83814-2639 Ph: (208) 676-0926 |
| NPI Number | 1972774602 |
|---|---|
| Provider Enumeration Date | 03/20/2008 |
| Last Update Date | 06/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972774602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 202060 (Idaho) | Primary |
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