Individual
MR. JEFF ALAN SORDAHL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
2463 E GALA ST STE 100, MERIDIAN, ID 83642-5210
(208) 955-7333
(208) 955-7330
Mailing address
444 W FORT ST FL 2, BOISE, ID 83702-4535
(208) 422-1018
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY202763
ID
Other
Enumeration date
01/04/2011
Last updated
09/27/2023
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