Individual
SHEILA MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1221 W HAYS STREET, BOISE, ID 83702-5316
(208) 383-1193
(208) 336-9984
Mailing address
1221 W HAYS STREET, BOISE, ID 83702-5316
(208) 383-1193
(208) 336-9984
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY246
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010016396
REGENCE BLUE SHIELD
ID
01
—
N9204
BLUE CROSS
ID
Enumeration date
01/23/2007
Last updated
07/08/2007
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