Seasons Of Hope | |
4650 Hawthorne Rd Chubbuck ID 83202-2376 | |
(208) 237-9833 | |
(208) 237-1800 |
Full Name | Seasons Of Hope |
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Speciality | Psychologist - Clinical |
Location | 4650 Hawthorne Rd, Chubbuck, Idaho |
Authorized Official Name and Position | Heath Jacob Sommer (CEO) |
Authorized Official Contact | 2082379833 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Seasons Of Hope 4650 Hawthorne Rd Chubbuck ID 83202-2376 Ph: (208) 237-9833 | Seasons Of Hope 4650 Hawthorne Rd Chubbuck ID 83202-2376 Ph: (208) 237-9833 |
NPI Number | 1255645610 |
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Provider Enumeration Date | 07/28/2010 |
Last Update Date | 07/28/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255645610 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PSY202423 (Idaho) | Primary |
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