Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Idaho State University, Psychology Clinic

Organization Community/Behavioral Health Agency · NPI 1174682959

Idaho State University, Psychology Clinic is a Community/Behavioral Health Agency in Pocatello, Idaho. Licensed in Idaho. Registered with an NPI since 2006.

Licensed in
ID
In the registry since
2006
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Practice location Partly verified

Some contact details are missing from the federal record.

Isu Psychology Clinic Idaho State University 921 S 8th Ave Stop 8021
Pocatello, ID 83209-0001
Phone: (208) 282-2129
Fax: (208) 282-5411
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Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X · Licence 344 (ID)

Record details

NPI number1174682959
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationIdaho State University
Authorized official Anthony Cellucci — Director Of Psych Clinic · (208) 282-2129
NPI enumeratedDecember 7, 2006
Last updated in NPPESJune 17, 2008
Mailing addressIsu Psychology Clinic Idaho State University, 921 S. 8th Avenue, Stop 8021, Pocatello, ID 83209-0001

Other providers in Pocatello