Organization
BIG LAKE PSYCHOLOGICAL SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEATHER REHIL PSY.D. (CHIEF PSYCHOLOGIST)
(208) 550-3165
Entity
Organization
Contact information
Practice address
1809 E SHERMAN AVE, COEUR D ALENE, ID 83814-5873
(208) 665-9611
Mailing address
1104 W IRONWOOD DR, COEUR D ALENE, ID 83814-2605
(208) 550-3165
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSY-202671
ID
Other
Enumeration date
11/26/2012
Last updated
07/27/2020
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