Individual
DR. CORINNE PATRICIA BOTTRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., N.D.
Contact information
Practice address
547 S FITNESS PL STE 110, EAGLE, ID 83616-6552
(208) 939-3986
Mailing address
3896 HOLL DR, EAGLE, ID 83616-2850
(208) 440-0190
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
ID
Other
Enumeration date
12/07/2019
Last updated
12/07/2019
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