Palouse Psychiatry | |
804 S Wa A Moscow ID 83843 | |
(208) 883-6476 | |
(208) 883-6562 |
Full Name | Palouse Psychiatry |
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Speciality | Clinic/center - Adult Mental Health |
Location | 804 S Wa, Moscow, Idaho |
Authorized Official Name and Position | Jeffrey Martin (CEO) |
Authorized Official Contact | 2088824511 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Palouse Psychiatry 700 S Main St Moscow ID 83843-3056 Ph: (208) 882-4511 | Palouse Psychiatry 804 S Wa A Moscow ID 83843 Ph: (208) 883-6476 |
NPI Number | 1730387424 |
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Provider Enumeration Date | 07/05/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730387424 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | 39 (Idaho) | Primary |
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