Individual
COURTNEY EDMONSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
579 W HAYDEN AVE, HAYDEN, ID 83835-9726
(509) 289-2642
Mailing address
579 W HAYDEN AVE, HAYDEN, ID 83835-9726
(509) 289-2642
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
13409800-2501
UT
103TC0700X
Clinical Psychologist
Primary
PSY-203726
ID
103TC0700X
Clinical Psychologist
PY61242191
WA
Other
Enumeration date
01/17/2018
Last updated
03/12/2026
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