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Individual

DAN EARNEST DAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
1550 N CRESTMONT DR, SUITE E, MERIDIAN, ID 83642-2184
(208) 898-0988
(208) 898-9022
Mailing address
1550 N CRESTMONT DR, SUITE E, MERIDIAN, ID 83642-2184
(208) 898-0988
(208) 898-9022

Taxonomy

Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSY-354
ID

Other

Enumeration date
06/21/2012
Last updated
06/21/2012
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