Individual
DR. SUSAN KAY STUMPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2995 N COLE RD, SUITE 255, BOISE, ID 83704-5964
(208) 936-5051
(208) 376-0477
Mailing address
2995 N COLE RD, SUITE 255, BOISE, ID 83704-5964
(208) 936-5051
(208) 376-0477
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
01/19/2010
Last updated
01/19/2010
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