Organization
JOANNE BURGIO PHD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNE BURGIO PHD (OWNER/PROVIDER)
(208) 519-9102
Entity
Organization
Contact information
Practice address
943 W OVERLAND RD, MERIDIAN, ID 83642-6541
(208) 519-9102
(208) 550-3483
Mailing address
943 W OVERLAND RD, MERIDIAN, ID 83642-6541
(208) 519-9102
(208) 550-3483
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396852083
—
ID
Enumeration date
12/28/2018
Last updated
03/06/2024
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