Individual
DR. CHERYL MADDALENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1412 W WASHINGTON ST, BOISE, ID 83702-5038
(208) 447-6835
Mailing address
1412 W WASHINGTON ST, BOISE, ID 83702-5038
(208) 447-6835
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY - 202518
ID
Other
Enumeration date
05/26/2012
Last updated
01/23/2013
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