Individual
DANAE PEREZ-CAHILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
500 W FORT ST, VA MEDICAL CENTER, BOISE, ID 83702-4501
(208) 422-1000
(208) 422-1496
Mailing address
500 W FORT ST, VA MEDICAL CENTER, BOISE, ID 83702-4501
(208) 422-1000
(208) 422-1496
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
7730
MA
103TC0700X
Clinical Psychologist
7730
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0527254
—
MA
Enumeration date
06/28/2006
Last updated
09/06/2011
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