Organization
THE UNDISCOVERED SELF, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN ANTHONY BERADINO PHD (PSYCHOLOGIST)
(310) 500-6862
Entity
Organization
Contact information
Practice address
1015 W HAYS ST STE 205, BOISE, ID 83702-5412
(310) 500-6862
Mailing address
1312 E WARM SPRINGS AVE, BOISE, ID 83712-8025
(310) 500-6862
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
11/14/2025
Last updated
11/14/2025
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