| Psychological Assessment Specialists | |
|
1246 Yellowstone Ave Ste C5 Pocatello ID 83201-4373 | |
| (208) 233-0150 | |
| (208) 233-0159 |
| Full Name | Psychological Assessment Specialists |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1246 Yellowstone Ave Ste C5, Pocatello, Idaho |
| Authorized Official Name and Position | John L Christensen (OWNER/PSYCHOLOGIST) |
| Authorized Official Contact | 2082330150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychological Assessment Specialists 1246 Yellowstone Ave Ste C5 Pocatello ID 83201-4373 Ph: (208) 233-0150 | Psychological Assessment Specialists 1246 Yellowstone Ave Ste C5 Pocatello ID 83201-4373 Ph: (208) 233-0150 |
| NPI Number | 1023497013 |
|---|---|
| Provider Enumeration Date | 05/22/2015 |
| Last Update Date | 05/22/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023497013 | NPI | - | NPPES |
| 807126900 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | SERVICE EXTENDER (Idaho) | Primary |
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