Individual
SALLY MCCOLLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
171 W. 1ST ST #1, KETCHUM, ID 83340-6078
(208) 726-8926
(208) 726-8926
Mailing address
PO BOX 6078, KETCHUM, ID 83340-6078
(208) 726-8926
(208) 726-8926
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 237
ID
Other
Enumeration date
08/25/2006
Last updated
01/14/2015
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