| Susan Martin Therapy And Wellness Pllc | |
|
9474 W Fairview Ave Boise ID 83704-8101 | |
| (208) 629-7730 | |
| Not Available |
| Full Name | Susan Martin Therapy And Wellness Pllc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 9474 W Fairview Ave, Boise, Idaho |
| Authorized Official Name and Position | Susan Martin (OWNER) |
| Authorized Official Contact | 2086297730 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Martin Therapy And Wellness Pllc Po Box 140514 Boise ID 83714-0514 Ph: () - | Susan Martin Therapy And Wellness Pllc 9474 W Fairview Ave Boise ID 83704-8101 Ph: (208) 629-7730 |
| NPI Number | 1245948819 |
|---|---|
| Provider Enumeration Date | 11/11/2022 |
| Last Update Date | 11/11/2022 |
| Certification Date | 10/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245948819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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