| Syringa Psychotherapy | |
|
212 N 1st Ave Suite 203 Sandpoint ID 83864-1436 | |
| (208) 946-5242 | |
| Not Available |
| Full Name | Syringa Psychotherapy |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 212 N 1st Ave, Sandpoint, Idaho |
| Authorized Official Name and Position | Clark Edward Richman (PARTNER) |
| Authorized Official Contact | 2089465242 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Syringa Psychotherapy 212 N 1st Ave Suite 203 Sandpoint ID 83864-1436 Ph: (208) 946-5242 | Syringa Psychotherapy 212 N 1st Ave Suite 203 Sandpoint ID 83864-1436 Ph: (208) 946-5242 |
| NPI Number | 1679860746 |
|---|---|
| Provider Enumeration Date | 07/08/2011 |
| Last Update Date | 07/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679860746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LCPC-4465 (Idaho) | Primary |
| 251S00000X | Community/behavioral Health | LPC-4235 (Idaho) | Secondary |
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