Individual
CELAL PERIHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
805 N ARTHUR AVE, POCATELLO, ID 83204-2803
(208) 760-2146
Mailing address
1776 CHURCHILL DOWNS, POCATELLO, ID 83201-7107
(208) 317-7263
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
7971750
ID
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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