Organization
STARLIGHT PSYCHOLOGICAL SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY WASILEWSKI PSYD (OWNER)
(347) 515-5039
Entity
Organization
Contact information
Practice address
101 S PARK AVE, IDAHO FALLS, ID 83402-3627
(208) 715-7551
Mailing address
3000 OLD CASTLE LN, IDAHO FALLS, ID 83404-7346
(347) 515-5039
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/09/2023
Last updated
09/11/2025
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