Individual
MICHAEL MCCALEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2076 S EAGLE RD, MERIDIAN, ID 83642-6707
(208) 955-7334
Mailing address
4297 N CHATTERTON AVE, BOISE, ID 83713-1934
(208) 322-2482
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
NONE - INTERN STUDEN
ID
Other
Enumeration date
05/07/2012
Last updated
05/07/2012
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