Individual
DR. GINA T. RAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
444 W FORT ST FL 2, BOISE, ID 83702-4535
(208) 422-1038
Mailing address
444 W FORT ST FL 2, BOISE, ID 83702-4535
(208) 422-1145
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
071.009846
IL
103TC0700X
Clinical Psychologist
Primary
0810004747
VA
Other
Enumeration date
05/06/2013
Last updated
03/05/2026
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