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Individual

DR. DARLA JANE FARADAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
111 E 16TH ST, IDAHO FALLS, ID 83404-5919
(208) 523-1130
(208) 529-6501
Mailing address
111 E 16TH ST, IDAHO FALLS, ID 83404-5919
(208) 523-1130
(208) 529-6501

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PSY-202441
ID
103T00000X
Psychologist
Primary
PSY-202441
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
808091400
ID
Enumeration date
10/01/2008
Last updated
06/30/2025
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