Organization
ALPINE RIDGE PSYCHOLOGICAL SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL ROBERT THOMAS PHD (CLINICAL PSYCHOLOGIST)
(208) 728-7750
Entity
Organization
Contact information
Practice address
1464 N 805 E, SHELLEY, ID 83274-5049
(208) 728-7750
(208) 728-7750
Mailing address
2184 CHANNING WAY # 119, IDAHO FALLS, ID 83404-8034
(208) 728-7750
(208) 728-7750
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
05/12/2025
Last updated
05/12/2025
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