Organization
DAVID E. NILSSON, PH.D., P.C.
Active
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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