Individual
DR. TIMOTHY A CONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
211 S WOODRUFF AVE, SUITE J, IDAHO FALLS, ID 83401-4369
(208) 529-5548
(208) 529-5588
Mailing address
211 S WOODRUFF AVE, SUITE J, IDAHO FALLS, ID 83401-4369
(208) 529-5548
(208) 529-5588
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
202118
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010155441
REGENCE BLUE SHIELD
ID
01
—
N6279
BLUE CROSS
ID
Enumeration date
06/09/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us