| Serenity Neuropsychology & Counseling | |
|
2498 N Stokesberry Pl Ste 150 Meridian ID 83646-5150 | |
| (208) 957-5450 | |
| (208) 957-5292 |
| Full Name | Serenity Neuropsychology & Counseling |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 2498 N Stokesberry Pl Ste 150, Meridian, Idaho |
| Authorized Official Name and Position | Melody Lynn Snider (LICENSED PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 2089575450 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity Neuropsychology & Counseling 2498 N Stokesberry Pl Ste 150 Meridian ID 83646-5150 Ph: (208) 957-5450 | Serenity Neuropsychology & Counseling 2498 N Stokesberry Pl Ste 150 Meridian ID 83646-5150 Ph: (208) 957-5450 |
| NPI Number | 1285815399 |
|---|---|
| Provider Enumeration Date | 11/16/2007 |
| Last Update Date | 01/09/2019 |
| Medicare PECOS PAC ID | 5395870539 |
|---|---|
| Medicare Enrollment ID | O20100312000952 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285815399 | NPI | - | NPPES |
| 1982734984 | Other | ID | INDIVIDUAL NPI |
| N6316 | Other | ID | BLUE CROSS |
| 000010162954 | Other | ID | REGENCE BLUE SHIELD |
| 16200124 | Other | ID | MEDICARE GROUP PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | PSY-202392 (Idaho) | Primary |
| 103TC0700X | Psychologist - Clinical | PSY-202392 (Idaho) | Secondary |
| Provider Name | Melody L Snider |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982734984 PECOS PAC ID: 7810085321 Enrollment ID: I20100312000948 |
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