Psychological Solutions, Llc | |
1104 W Ironwood Dr Coeur D Alene ID 83814-2605 | |
(208) 667-2870 | |
(208) 667-2970 |
Full Name | Psychological Solutions, Llc |
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Speciality | Psychologist - Clinical |
Location | 1104 W Ironwood Dr, Coeur D Alene, Idaho |
Authorized Official Name and Position | Jennifer Stiles Lickey (OWNER) |
Authorized Official Contact | 2086672870 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Psychological Solutions, Llc Po Box 3269 Hayden ID 83835-3269 Ph: () - | Psychological Solutions, Llc 1104 W Ironwood Dr Coeur D Alene ID 83814-2605 Ph: (208) 667-2870 |
NPI Number | 1912234642 |
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Provider Enumeration Date | 11/18/2009 |
Last Update Date | 11/18/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912234642 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PSY-428 (Idaho) | Primary |
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