Individual
DR. LEANNE PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1720 18TH AVE, LEWISTON, ID 83501-4047
(208) 746-4097
Mailing address
1248 MAINSPRING LN, MOSCOW, ID 83843-5059
(208) 310-9399
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY-202054
ID
Other
Enumeration date
02/17/2020
Last updated
02/17/2020
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