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

Dr. Gina T. Raza, PHD

Individual provider Clinical Psychologist · NPI 1417392374

Dr. Gina T. Raza, PHD is a Clinical Psychologist in Boise, Idaho. Licensed in Illinois and Virginia. Registered with an NPI since 2013.

Licensed in
IL, VA
In the registry since
2013
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

444 W Fort St Fl 2
Boise, ID 83702-4535
Phone: (208) 422-1038
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 0810004747 (VA)
Clinical Psychologist Taxonomy 103TC0700X · Licence 071.009846 (IL)

Record details

NPI number1417392374
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedMay 6, 2013
Last updated in NPPESMarch 5, 2026
Certification dateMarch 5, 2026

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