Individual
DR. ALLISON LEE ETNYRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
1070 N CURTIS RD, SUITE 210, BOISE, ID 83706-1238
(208) 860-0770
(208) 322-0367
Mailing address
11368 W HICKORY BARK DR, BOISE, ID 83713-1004
(208) 323-9698
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY-202238
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010158559
REGENCE BLUE SHIELD
ID
05
—
002269500
—
ID
01
—
N6135
BLUE CROSS
ID
Enumeration date
03/15/2007
Last updated
06/10/2008
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