Organization
HUMAN DYNAMICS AND DIAGNOSTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELLISSA OCKERMAN (OFFICE MANAGER)
(208) 522-0140
Entity
Organization
Contact information
Practice address
2267 TETON PLZ, IDAHO FALLS, ID 83404-6486
(208) 524-4953
(208) 524-7335
Mailing address
2267 TETON PLZ, IDAHO FALLS, ID 83404-6486
(208) 524-4953
(208) 524-7335
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806878600
—
ID
Enumeration date
03/27/2007
Last updated
04/25/2023
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