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Individual

MEGAN OLSEN BIRD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
1777 E CLARK ST STE 210, POCATELLO, ID 83201-3357
(208) 203-2088
Mailing address
1777 E CLARK ST STE 210, POCATELLO, ID 83201-3357
(208) 203-2088

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
202290
AR
103TC0700X
Clinical Psychologist
Primary
9181119
ID
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/20/2023
Last updated
07/13/2026
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