Organization
BOISE FAMILY PSYCHOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER OLSON (PSYCHOLOGIST)
(208) 938-1236
Entity
Organization
Contact information
Practice address
13177 W PERSIMMON LN STE 102, BOISE, ID 83713-1986
(208) 938-1236
Mailing address
PO BOX 140037, BOISE, ID 83714-0037
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
01/15/2007
Last updated
08/22/2020
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