Individual
DR. NICOLE BECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2647 KIMBERLY RD STE 2, TWIN FALLS, ID 83301-7976
(208) 734-1281
(208) 933-4435
Mailing address
794 EASTLAND DR, TWIN FALLS, ID 83301-6856
(208) 734-3312
(208) 933-4435
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
26010
CA
103T00000X
Psychologist
Primary
7671932
ID
103T00000X
Psychologist
PSY26010
CA
Other
Enumeration date
03/05/2007
Last updated
12/02/2024
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