Organization
PSYCHOLOGICAL EVALUATIONS AND HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTA MICHELLE TIGUE PHD (OWNER/OPERATOR)
(208) 404-6049
Entity
Organization
Contact information
Practice address
133 MAIN AVE W STE 600, TWIN FALLS, ID 83301-6580
(208) 404-6049
Mailing address
133 MAIN AVE W STE 600, TWIN FALLS, ID 83301-6580
(208) 404-6049
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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