Individual
DR. CHAD RAY SOMBKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2770 E FRANKLIN RD, MERIDIAN, ID 83642-5953
(208) 855-0660
(208) 898-9433
Mailing address
2770 E FRANKLIN RD, MERIDIAN, ID 83642-5953
(208) 855-0660
(208) 898-9433
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY202061
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N6276
BLUE CROSS OF IDAHO
ID
Enumeration date
10/03/2007
Last updated
10/03/2007
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