Individual
JILL M HEDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 W FORT ST, BOISE, ID 83702-4501
(208) 422-1145
(208) 422-1241
Mailing address
500 W FORT ST, BOISE, ID 83702-4501
(208) 422-1145
(208) 422-1241
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
10/19/2006
Last updated
07/08/2007
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