Individual
DR. ALAN L. ZOHNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1842 1ST ST, IDAHO FALLS, ID 83401-4415
(208) 552-5707
(208) 552-5709
Mailing address
1842 1ST ST, IDAHO FALLS, ID 83401-4415
(208) 552-5707
(208) 552-5709
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY200
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010140979
BLUE SHIELD
ID
01
—
N5418
BLUE CROSS
ID
Enumeration date
08/28/2006
Last updated
07/08/2007
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