Individual
DR. JEFFREY LEE ELDER II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
393 E 2ND N, REXBURG, ID 83440-1605
(208) 359-4840
(208) 359-9010
Mailing address
2810 N MELINDA CT, IDAHO FALLS, ID 83401-6527
(801) 913-2753
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PSY-202664
ID
Other
Enumeration date
10/14/2012
Last updated
07/02/2021
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