Individual
DR. TRACI CRABB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
5418 N EAGLE RD STE 160, BOISE, ID 83713-0100
(208) 938-9653
(208) 938-1399
Mailing address
5418 N EAGLE RD STE 160, BOISE, ID 83713-0100
(208) 938-9653
(208) 549-7870
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY - 202233
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010157338
REGENCE BLUE SHIELD OF ID
ID
05
—
806968300
—
ID
01
—
N6289
BLUE CROSS OF IDAHO
ID
Enumeration date
08/04/2006
Last updated
08/21/2025
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