Individual
DR. KATHLEEN MARIE MICHAUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
5995 W STATE ST STE A, GARDEN CITY, ID 83703-3085
(208) 985-3340
(208) 629-1358
Mailing address
PO BOX 140544, GARDEN CITY, ID 83714-0544
(208) 985-3340
(208) 629-1358
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY202738
ID
Other
Enumeration date
08/14/2007
Last updated
11/09/2023
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