Organization
ROSS GINKEL PSYD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSS GINKEL PSY.D. (OWNER)
(503) 939-2484
Entity
Organization
Contact information
Practice address
750 W USTICK RD, SUITE 120, MERIDIAN, ID 83646-6133
(208) 366-1601
(208) 366-1602
Mailing address
750 W USTICK RD, SUITE 120, MERIDIAN, ID 83646-6133
(208) 366-1601
(208) 366-1602
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 203014
ID
Other
Enumeration date
02/08/2017
Last updated
02/08/2017
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