Organization
INTEGRATED BEAHVIORAL HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG STEMPF PHD (PSYCHOLOGIST ,OWNER)
(208) 765-4509
Entity
Organization
Contact information
Practice address
1621 N 3RD ST STE 1100, COEUR D ALENE, ID 83814-3381
(208) 765-4509
Mailing address
1621 N 3RD ST STE 1100, COEUR D ALENE, ID 83814-3381
(208) 765-4509
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
ID
103T00000X
Psychologist
Primary
—
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003530500
—
ID
Enumeration date
02/10/2010
Last updated
02/10/2010
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