Organization
HEALTHWEST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMELIA MURPHY (MEDICAL STAFF COORDINATOR)
(208) 232-7862
Entity
Organization
Contact information
Practice address
1000 N 8TH AVE, POCATELLO, ID 83201-5757
(208) 232-6260
Mailing address
1000 N 8TH AVE, POCATELLO, ID 83201-5757
(208) 232-6260
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
SE-202913
ID
Other
Enumeration date
03/24/2016
Last updated
08/17/2020
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