Individual
DR. JACK ALBAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
111 PALMER DR, NAMPA, ID 83686-8313
(208) 467-2741
Mailing address
111 PALMER DR, NAMPA, ID 83686-8313
(208) 467-2741
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY-162
ID
Other
Enumeration date
05/03/2006
Last updated
07/08/2007
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