| Philip N Mackinnon, PH D | |
|
415 6th St, Lewiston, ID 83501-2431 | |
| (208) 743-2511 | |
| (208) 799-5554 |
| Full Name | Philip N Mackinnon |
|---|---|
| Gender | Male |
| Speciality | Psychologist |
| Location | 415 6th St, Lewiston, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376681098 | NPI | - | NPPES |
| 8373920 | Medicaid | WA | |
| N5905 | Other | ID | BLUE CROSS OF IDAHO IND |
| 0215850 | Other | WA | DEPT OF LABOR AND INDUSTR |
| 10016370 | Other | ID | REGENCE OF IDAHO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY235 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Philip N Mackinnon, PH D 415 6th St, Lewiston, ID 83501-2431 Ph: (208) 743-2511 | Philip N Mackinnon, PH D 415 6th St, Lewiston, ID 83501-2431 Ph: (208) 743-2511 |
Dr. Kristy Anne Kuehfuss, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1418 Grelle Ave, Lewiston, ID 83501 Phone: 208-631-5843 | |
Dr. Kevin Richard Kracke, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 422 17th St, Lewiston, ID 83501 Phone: 208-743-4680 Fax: 208-743-1756 | |
Rebecca J Alexander, PH.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 532 Bryden Ave, Lewiston, ID 83501 Phone: 208-798-5168 Fax: 208-798-5169 | |
Dr. Leanne Parker, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1720 18th Ave, Lewiston, ID 83501 Phone: 208-746-4097 | |
Dr. Richard Ballou Gallaher Jr., PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 513 Thain Road, Lewiston, ID 83501 Phone: 208-743-0150 Fax: 208-743-5358 | |
Dr. Jarod John Fitzgerald, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 1203 Idaho St, Lewiston, ID 83501 Phone: 208-848-8300 |