Individual
DR. PETER VIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
ISU PSYCHOLOGY CLINIC, IDAHO STATE UNIVERSITY STOP 8021, POCATELLO, ID 83209-0001
(208) 282-2129
(208) 282-5411
Mailing address
ISU PSYCHOLOGY CLINIC, IDAHO STATE UNIVERSITY STOP 8021, POCATELLO, ID 83209-8021
(208) 282-2129
(208) 282-5411
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY-321
ID
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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