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

Meridian Neuropsychology PLLC

Organization Clinical Neuropsychologist · NPI 1114321163

Meridian Neuropsychology PLLC is a Clinical Neuropsychologist in Meridian, Idaho. Licensed in Idaho. Registered with an NPI since 2014.

Licensed in
ID
In the registry since
2014
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3061 S Meridian Rd Ste 100
Meridian, ID 83642-7962
Phone: (208) 895-9852
Fax: (208) 629-1231
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence PSY-202728 (ID)
Clinical Psychologist Taxonomy 103TC0700X · Licence PSY-202728 (ID)

Record details

NPI number1114321163
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Southwick — Manager · (208) 895-9852
NPI enumeratedOctober 20, 2014
Last updated in NPPESMay 18, 2024
Certification dateMay 18, 2024
Mailing address3597 E Monarch Sky Ln Ste 240, Meridian, ID 83646-1055

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