Individual
DR. RICHARD D CRAIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2178 W WINDCHIME DR, MERIDIAN, ID 83646-3535
(208) 994-1672
Mailing address
2178 W WINDCHIME DR, MERIDIAN, ID 83646-3535
(208) 994-1672
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY-202367
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY-202367
LICENSE
ID
Enumeration date
05/11/2017
Last updated
05/11/2017
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