| Whitewater Tms Llc | |
|
908 N Whitewater Park Blvd Boise ID 83703-5822 | |
| (208) 573-4387 | |
| Not Available |
| Full Name | Whitewater Tms Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 908 N Whitewater Park Blvd, Boise, Idaho |
| Authorized Official Name and Position | Jacqueline Marie Bell (OWNER) |
| Authorized Official Contact | 6028032765 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Whitewater Tms Llc 908 N Whitewater Park Blvd Boise ID 83703-5822 Ph: (208) 573-4387 | Whitewater Tms Llc 908 N Whitewater Park Blvd Boise ID 83703-5822 Ph: (208) 573-4387 |
| NPI Number | 1750103263 |
|---|---|
| Provider Enumeration Date | 10/26/2024 |
| Last Update Date | 10/26/2024 |
| Certification Date | 10/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750103263 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
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