Individual
JILL EFTA BREITBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY D
Contact information
Practice address
509 W HANLEY AVE STE 101, COEUR D ALENE, ID 83815-8994
(208) 666-0357
(208) 666-0468
Mailing address
509 W HANLEY AVE STE 101, COEUR D ALENE, ID 83815-8994
(208) 666-0357
(208) 666-0468
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
203499
ID
103TC0700X
Clinical Psychologist
203499
ID
Other
Enumeration date
02/03/2006
Last updated
01/09/2026
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