| Full Name | |
|---|---|
| Speciality | Psychologist |
| Location | 700 East Alice, Blackfoot, Idaho |
| Authorized Official Name and Position | Lynn D Shields (PATIENT ACCOUNT SPEC) |
| Authorized Official Contact | 2087858462 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
P.o. Box 400 Blackfoot ID 83221 Ph: (208) 785-8462 | 700 East Alice Blackfoot ID 83221 Ph: (208) 785-8462 |
| NPI Number | 1609267715 |
|---|---|
| Provider Enumeration Date | 02/11/2015 |
| Last Update Date | 03/25/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609267715 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
United Family Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6 W Bridge St, Blackfoot, ID 83221 Phone: 208-200-9515 | |
A To Z Family Services Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 S Broadway St, Blackfoot, ID 83221 Phone: 208-785-1326 Fax: 208-785-1396 | |
Idaho Dept Of Health & Welfare Reg 7 Amh Bf Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 720 E Alice, Blackfoot, ID 83221 Phone: 208-785-5871 Fax: 208-785-5877 | |
J&m Mental Health, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 60 N Broadway St, Blackfoot, ID 83221 Phone: 208-782-1102 | |
J&m Mental Health, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 60 N Broadway St, Blackfoot, ID 83221 Phone: 208-782-1102 | |
Blackfoot Medical Clinic Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1441 Parkway Dr, Blackfoot, ID 83221 Phone: 208-785-2600 |