Individual
DR. JASON DONALD GAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
311 ALLUMBAUGH ST, BOISE, ID 83704-9208
(208) 375-6402
(208) 323-1850
Mailing address
311 ALLUMBAUGH ST, BOISE, ID 83704-9208
(208) 375-6402
(208) 323-1850
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY202-302
ID
Other
Enumeration date
10/28/2005
Last updated
01/31/2008
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