Organization
NORTHWEST NEUROBEHAVIORAL HEALTH, LLC
Active
Organization
NORTHWEST NEUROBEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY EVANS (BILLING SUPERVISOR)
(208) 323-9130
Entity
Organization
Contact information
Practice address
2950 E MAGIC VIEW DR STE 140, MERIDIAN, ID 83642-9273
(208) 323-9130
(208) 323-9070
Mailing address
2950 E MAGIC VIEW DR STE 140, MERIDIAN, ID 83642-9273
(208) 323-9130
(208) 323-9070
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY-202444
ID
Other
Enumeration date
01/05/2011
Last updated
01/05/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up