| Prism Psychology | |
|
1400 E Sherman Ave Coeur D Alene ID 83814-4044 | |
| (208) 966-4206 | |
| Not Available |
| Full Name | Prism Psychology |
|---|---|
| Speciality | Psychologist |
| Location | 1400 E Sherman Ave, Coeur D Alene, Idaho |
| Authorized Official Name and Position | Christopher Laviola (OWNER) |
| Authorized Official Contact | 7146145169 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prism Psychology 1400 E Sherman Ave Coeur D Alene ID 83814-4044 Ph: (208) 966-4206 | Prism Psychology 1400 E Sherman Ave Coeur D Alene ID 83814-4044 Ph: (208) 966-4206 |
| NPI Number | 1437809746 |
|---|---|
| Provider Enumeration Date | 03/28/2022 |
| Last Update Date | 03/31/2022 |
| Certification Date | 03/31/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437809746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
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