Individual
DR. STEVEN L MEHARRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY. D.
Contact information
Practice address
3775 N EAGLE RD, SUITE 102, BOISE, ID 83713-5005
(208) 863-6744
(208) 938-1399
Mailing address
PO BOX 578, EMMETT, ID 83617-0578
(208) 863-6744
(208) 938-1399
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY-426
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010033578
REGENCE BLUE SHIELD
ID
01
—
N5483
BLUE CROSS
ID
Enumeration date
10/09/2005
Last updated
08/22/2011
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