# PSYCHIATRIC ASSOCIATES SERVICES PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053074302
- **Authorized official:** WILLIAM SHORT PA (MEMBER)
- **Authorized official phone:** (082) 912-4416

## Contact information

- **Practice address:** 1019 W SANETTA ST, NAMPA, ID 83651-5047
- **Practice address phone:** (208) 917-1842
- **Practice address fax:** (208) 549-7017
- **Mailing address:** 1775 W STATE ST \# 383, BOISE, ID 83702-3924
- **Mailing address phone:** (208) 912-4416
- **Mailing address fax:** (208) 549-5832

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | — | NULL | Yes |
| 363A00000X | Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 10/14/2021
- **Last updated:** 09/28/2023