Eagle Crest Life Services
Eagle Crest Life Services is a Prescribing (Medical) Psychologist in Coeur D Alene, Idaho. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
416 E Coeur Dalene AveCoeur D Alene, ID 83814-2825
Phone: (208) 666-9162
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Prescribing (Medical) Psychologist (primary) | Taxonomy 103TP0016X |
|---|
Record details
| NPI number | 1659572493 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Robert Wheeler — President · (208) 666-9162 |
| NPI enumerated | May 30, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | Po Box 3723, Coeur D Alene, ID 83816-2529 |