Organization
JAY W. WEBB, PH.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY W. WEBB PH.D. (OWNER)
(208) 376-0453
Entity
Organization
Contact information
Practice address
2304 N. COLE RD., SUITE B, BOISE, ID 83704
(208) 376-0453
(208) 376-0477
Mailing address
2304 N. COLE RD, SUITE B, BOISE, ID 83704
(208) 376-0453
(208) 376-0477
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY-360
ID
Other
Enumeration date
03/03/2007
Last updated
11/06/2014
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