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Individual

JAMIE RAE CHAMPION

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.H.D.

Contact information

Practice address
2365 E GALA ST, SUITE #2, MERIDIAN, ID 83642-4881
(208) 288-1920
(208) 288-2844
Mailing address
2365 E GALA ST, SUITE #2, MERIDIAN, ID 83642-4881
(208) 288-1920
(208) 288-2844

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY-373
ID
103TC0700X
Clinical Psychologist
PSY 373
ID

Other

Enumeration date
08/03/2006
Last updated
09/11/2025
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