Individual
DR. CHARLES R KAUFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
464 SHOUP AVE W, BOX 5591, TWIN FALLS, ID 83301-5045
(208) 734-8844
(208) 734-8844
Mailing address
464 SHOUP AVE W, BOX 5591, TWIN FALLS, ID 83301-5045
(208) 734-8844
(208) 734-8844
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY149
ID
Other
Enumeration date
08/29/2007
Last updated
08/29/2007
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