Individual
DR. ELIZABETH IRENE FASSIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
500 W FORT ST, BOISE VA MEDICAL CENTER (116), BOISE, ID 83702-4501
(208) 422-1145
(208) 422-1241
Mailing address
9212 S TALON LN, BOISE, ID 83709-7830
(208) 422-1145
(208) 422-1241
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
3233
ID
103TA0700X
Adult Development & Aging Psychologist
3233
ID
103TC0700X
Clinical Psychologist
3233
ID
103TC1900X
Counseling Psychologist
3233
ID
103TC2200X
Clinical Child & Adolescent Psychologist
3233
ID
103TF0000X
Family Psychologist
3233
ID
103TH0100X
Health Service Psychologist
3233
ID
103TP2701X
Group Psychotherapy Psychologist
3233
ID
103TR0400X
Rehabilitation Psychologist
Primary
3233
ID
Other
Enumeration date
08/16/2006
Last updated
09/11/2025
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