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IDAHO STATE UNIVERSITY

Mental Health Clinic/Center (Including Community Mental Health Center)

NPI: 1366033094Organization

Specialties, Licenses & Credentials

Prescribing (Medical) Psychologist

Psychologist — Prescribing (Medical)

Code: 103TP0016X

Ambulatory Care Pharmacist

Pharmacist — Ambulatory Care

Code: 1835P2201X

Mental Health Clinic/Center (Including Community Mental Health Center)Primary

Clinic/Center — Mental Health (Including Community Mental Health Center)

Code: 261QM0801X

Contact & Hours

Address
1311 E CENTRAL DR
MERIDIAN, ID 83642

Quick Facts

NPI
1366033094
Entity Type
Organization
Medicare
Not confirmed
Specialties
3
Locations
1

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