Organization
NEIDER COUNSELING PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONEVAN NEIDER LCSW (OWNER)
(208) 552-0920
Entity
Organization
Contact information
Practice address
1522 ELK CREEK DR, IDAHO FALLS, ID 83404-8322
(208) 552-0920
(208) 529-2564
Mailing address
1522 ELK CREEK DR, IDAHO FALLS, ID 83404-8322
(208) 552-0920
(208) 529-2564
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/27/2007
Last updated
06/22/2009
Update your record
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