Individual
DR. STEVEN L. ATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
500 S. 11TH ST., PORTNEUF MEDICAL CENTER, POCATELLO, ID 83201
(435) 828-8028
Mailing address
500 S. 11TH ST., PORTNEUF MEDICAL CENTER BEHAVIORAL HEALTH, POCATELLO, ID 83201
(435) 828-8028
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
5525037-2501
UT
103G00000X
Clinical Neuropsychologist
PSY-202491
ID
103T00000X
Psychologist
5525037-2501
UT
103T00000X
Psychologist
PSY-202491
ID
103TC0700X
Clinical Psychologist
5525037-2501
UT
103TC0700X
Clinical Psychologist
PSY-202491
ID
103TC2200X
Clinical Child & Adolescent Psychologist
5525037-2501
UT
103TF0000X
Family Psychologist
PSY-202491
ID
Other
Enumeration date
09/25/2006
Last updated
08/20/2009
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