Organization
KATHLEEN MICHAUD PHD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHLEEN M MICHAUD PHD (CLINCIAL PSYCOLOGIIST, SOLE MBR)
(208) 971-5806
Entity
Organization
Contact information
Practice address
2498 N STOKESBERRY PL, SUITE 140, MERIDIAN, ID 83646-5150
(208) 971-5806
(208) 629-1358
Mailing address
2498 N STOKESBERRY PL, SUITE 140, MERIDIAN, ID 83646-5150
(208) 971-5806
(208) 629-1358
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY202738
ID
Other
Enumeration date
03/17/2017
Last updated
03/24/2017
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