Organization
JULIE B. SHIFFLER, PHD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIE B. SHIFFLER PH.D. (PRESIDENT)
(208) 201-6690
Entity
Organization
Contact information
Practice address
2404 N 3000 W, REXBURG, ID 83440-3126
(208) 201-6690
(208) 496-1238
Mailing address
2404 N 3000 W, REXBURG, ID 83440-3126
(208) 201-6690
(208) 496-1238
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY-378
ID
Other
Enumeration date
10/18/2006
Last updated
08/22/2020
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