Individual
BECKY JO HUSKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1755 WESTGATE DR, SUITE 260, BOISE, ID 83704-7174
(208) 373-0790
(208) 373-0816
Mailing address
1755 WESTGATE DR, SUITE 260, BOISE, ID 83704-7174
(208) 373-0790
(208) 373-0816
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY-202194
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X6919
BLUE CROSS
ID
Enumeration date
02/12/2007
Last updated
10/10/2007
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