St Luke's Regional Medical Center
St Luke's Regional Medical Center is a Clinical Child & Adolescent Psychologist in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2011.
- Licensed in
- ID
- In the registry since
- 2011
- Specialties on file
- 2
Practice location Address checks out
100 E Idaho St Ste 200Boise, ID 83712-6267
Phone: (208) 381-5000
Fax: (208) 381-5005
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Neurodevelopmental Disabilities Physician (primary) | Taxonomy 2080P0008X · Licence 03 (ID) |
|---|---|
| Clinical Child & Adolescent Psychologist | Taxonomy 103TC2200X · Licence 03 (ID) |
Record details
| NPI number | 1316243330 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | St Luke's Regional Medical Center |
| Authorized official | John Kee — Vp Physician Services · (208) 381-5329 |
| Other names | St Luke'S Childrens - Neurology |
| NPI enumerated | February 9, 2011 |
| Last updated in NPPES | February 9, 2011 |
| Mailing address | 190 E Bannock St, Boise, ID 83712-6241 |
Other providers in Boise
-
Rebecca Kelley
305 E Jefferson St, Boise, ID 83712-6231 · (208) 381-5000
-
Kelsy Newton, PSYD
7034 W Hummel Dr, Boise, ID 83709-1938 · (208) 917-2439