Individual
MICHAEL MCCLAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
600 ROBBINS RD, SUITE 101, BOISE, ID 83702-4539
(208) 489-4040
(208) 489-4064
Mailing address
582 E BOISE AVE, PMB 222, BOISE, ID 83706-5116
(208) 489-4040
(208) 489-4064
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 240
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
083361
REGENCE BLUE SHIELD PIN
ID
01
—
N-2407
BLUE CROSS OF IDAHO PIN
ID
Enumeration date
07/25/2006
Last updated
07/08/2007
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