Individual
DR. CARL T. RENFRO III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
221 S 2ND AVE, SANDPOINT, ID 83864-1310
(208) 263-1736
Mailing address
221 S 2ND AVE, SANDPOINT, ID 83864-1310
(208) 263-1736
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY-170
ID
Other
Enumeration date
03/02/2009
Last updated
03/02/2009
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