Organization
DAVID E. NILSSON, PH.D., P.C.
Active
Other names
The NeuroDevelopment Resource Center
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY NILSSON PT (CLINIC DIRECTOR)
(208) 947-5368
Entity
Organization
Contact information
Practice address
950 W BANNOCK ST STE 1100, BOISE, ID 83702-6140
(208) 947-5368
(888) 328-9210
Mailing address
950 W BANNOCK ST STE 1100, BOISE, ID 83702-6140
(208) 947-5368
(888) 328-9210
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY-230
ID
Other
Enumeration date
04/28/2012
Last updated
04/28/2012
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