Individual
MARILYN STANDFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1202 E 25TH ST, IDAHO FALLS, ID 83404-7072
(208) 520-8219
Mailing address
1202 E 25TH ST, IDAHO FALLS, ID 83404-7072
(208) 520-8219
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
225CX0006X
Orientation and Mobility Training Rehabilitation Counselor
—
—
Other
Enumeration date
07/29/2013
Last updated
08/09/2013
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