Ahva Mozafari, | |
9850 W St Lukes Dr # 329, Nampa, ID 83687-7912 | |
(208) 514-2509 | |
(208) 375-2217 |
Full Name | Ahva Mozafari |
---|---|
Gender | Female |
Speciality | Psychologist |
Location | 9850 W St Lukes Dr # 329, Nampa, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255719365 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | PSY-203784 (Idaho) | Primary |
Entity Name | Full Circle Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841490075 PECOS PAC ID: 6709986797 Enrollment ID: O20070924000618 |
Mailing Address | Practice Location Address |
---|---|
Ahva Mozafari, 777 N Raymond St, Boise, ID 83704-9251 Ph: (208) 514-2500 | Ahva Mozafari, 9850 W St Lukes Dr # 329, Nampa, ID 83687-7912 Ph: (208) 514-2509 |
Dr. Christine Kildow, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 915 Parkcentre Way Ste 7, Nampa, ID 83651 Phone: 208-442-7791 | |
Virginia Page Haviland, PH.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 4424 E Flamingo Ave Ste 310, Nampa, ID 83687 Phone: 208-302-3760 Fax: 208-302-3768 | |
Casey Payne, LPC Psychologist Medicare: Medicare Enrolled Practice Location: 320 11th Ave S Ste 204, Nampa, ID 83651 Phone: 208-515-7661 | |
Dr. Curtis Mahan Garner, EDD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 809 Astor Ave, Nampa, ID 83651 Phone: 208-407-4140 | |
Dr. Jack Alban, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 111 Palmer Dr, Nampa, ID 83686 Phone: 208-467-2741 | |
Kimberly Wegener, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9850 W St Lukes Dr Ste 329, Nampa, ID 83687 Phone: 208-514-2509 Fax: 208-375-2217 |