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JASON SCHICKEDANZ
Psychologist
NPI: 1295041630IndividualAccepts Medicare
Specialties, Licenses & Credentials
PsychologistPrimary
Psychologist
Code: 103T00000X
PSY-203074(ID)
CMS Specialties
PrimaryCLINICAL PSYCHOLOGIST
Education
OTHER
Class of 2015
Contact & Hours
- Address
- 4737 AFTON PL. SANCTUARY NTC, STE #A
CHUBUCK, ID 83202 - Phone
- (208) 417-0623
Quick Facts
- NPI
- 1295041630
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 11
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