Individual
HEIDE L HAUSKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.S, NCSP
Contact information
Practice address
3500 W SCENIC DR, BOISE, ID 83703-4725
(208) 340-0930
Mailing address
3500 W SCENIC DR, BOISE, ID 83703-4725
(208) 340-0930
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
34419
ID
103TS0200X
School Psychologist
439884H
WA
103TS0200X
School Psychologist
EDUID552776347
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34419
NATIONAL CERTIFIED SCHOOL PSYCHOLOGIST
—
01
—
439884H
EDUCATIONAL CERTIFICATE/ LICENSE
WA
01
—
EDUID552776347
EDUCATIONAL CERTIFICATE/ LICENSE
ID
Enumeration date
04/02/2022
Last updated
06/05/2024
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