Individual
LAUREN CHAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1065 E WINDING CREEK DR STE 250, EAGLE, ID 83616-7246
(208) 423-8375
Mailing address
1065 E WINDING CREEK DR STE 250, EAGLE, ID 83616-7246
(208) 423-8375
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY-203813
ID
Other
Enumeration date
12/11/2012
Last updated
03/01/2025
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