Organization
CALDWELL PSYCHOLOGICAL SERVICES P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHARES LINDEMAN BOOK PSY.D. (PSYCHOLOGIST)
(208) 459-6962
Entity
Organization
Contact information
Practice address
815 FILLMORE, CALDWELL, ID 83605-4173
(208) 459-6962
(208) 459-4476
Mailing address
815 FILLMORE, CALDWELL, ID 83605-4173
(208) 459-6962
(208) 459-4476
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
202193
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16848280
—
ID
Enumeration date
05/21/2008
Last updated
01/24/2012
Update your record
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