Organization
PSYCHOLOGICAL SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER STILES LICKEY PSY.D. (OWNER)
(208) 667-2870
Entity
Organization
Contact information
Practice address
1104 W IRONWOOD DR, COEUR D ALENE, ID 83814-2605
(208) 667-2870
(208) 667-2970
Mailing address
PO BOX 3269, HAYDEN, ID 83835-3269
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY-428
ID
Other
Enumeration date
11/18/2009
Last updated
11/18/2009
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