Mr Daniel Lance Traughber, PHD | |
4737 Afton Place, Ste A, Chubbuck, ID 83202 | |
(208) 417-0623 | |
(208) 417-0641 |
Full Name | Mr Daniel Lance Traughber |
---|---|
Gender | Male |
Speciality | Clinical Psychologist |
Experience | 17 Years |
Location | 4737 Afton Place, Ste A, Chubbuck, Idaho |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386944411 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Secondary |
103T00000X | Psychologist | PSY-202543 (Idaho) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
T Help | 9739319807 | 3 |
Entity Name | Shoshone Bannock Tribes Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801949763 PECOS PAC ID: 5496804429 Enrollment ID: O20100330001318 |
Entity Name | T Help |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649607250 PECOS PAC ID: 9739319807 Enrollment ID: O20140529002400 |
Mailing Address | Practice Location Address |
---|---|
Mr Daniel Lance Traughber, PHD Po Box 2431, Pocatello, ID 83206 Ph: (208) 417-0623 | Mr Daniel Lance Traughber, PHD 4737 Afton Place, Ste A, Chubbuck, ID 83202 Ph: (208) 417-0623 |
Hillary Hamilton Locke, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4460 Central Way Ste 2, Chubbuck, ID 83202 Phone: 208-237-1711 | |
Mrs. Jeanna Chay Colborn, MA, SE Psychologist Medicare: Not Enrolled in Medicare Practice Location: Sanctuary 4737 Afton Pl, Ste #a, Chubbuck, ID 83202 Phone: 208-417-0623 Fax: 208-417-0641 | |
Allison Clark Joe, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4650 Hawthorne Rd, Ste 3b, Chubbuck, ID 83202 Phone: 208-237-9833 Fax: 208-237-1800 | |
Liva Rigney-cox, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4650 Hawthorne Rd, Ste 3b, Chubbuck, ID 83202 Phone: 208-237-9833 Fax: 208-237-1800 | |
Matthew W Ashton, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 265 E Chubbuck Rd, Chubbuck, ID 83202 Phone: 208-237-1711 Fax: 208-237-9806 | |
Stefane Yeaman, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4650 Hawthorne Rd, Ste 3b, Chubbuck, ID 83202 Phone: 208-237-9833 Fax: 208-237-1800 |