Individual
LUCINDA L SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
500 W FORT ST, BOISE, ID 83702-4501
(208) 422-1000
Mailing address
500 W FORT ST BLDG 114, BOISE, ID 83702-4501
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY-203875
ID
Other
Enumeration date
09/15/2023
Last updated
09/15/2023
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