Organization
MICHAEL J. EISENBEISS, SR. DBA BOISE PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL J EISENBEISS SR. PHD (OWNER)
(208) 376-3546
Entity
Organization
Contact information
Practice address
315 NORTH ALLUMBAUGH STREET, BOISE, ID 83704
(208) 376-3546
(208) 376-9792
Mailing address
315 NORTH ALLUMBAUGH STREET, BOISE, ID 83704
(208) 376-3546
(208) 376-9792
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY57
ID
Other
Enumeration date
12/18/2006
Last updated
06/09/2010
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