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

Individual provider Mental Health Counselor · NPI 1861784068

Dr. Kelly Petrino, PSYD is a Mental Health Counselor in Boise, Idaho. Works from 2 locations. Licensed in Idaho, Montana and Wyoming.

Licensed in
ID, MT, WY
In the registry since
2011
Specialties on file
3
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

3350 W Americana Ter Ste 210
Boise, ID 83706-2546
Phone: (406) 880-5568
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 334 E Broadway St, Missoula, MT 59802-4618 — (406) 880-5568

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 203518 (ID)
Mental Health Counselor Taxonomy 101YM0800X · Licence 18071 (MT)
Psychologist Taxonomy 103T00000X · Licence 505 (WY)

Record details

NPI number1861784068
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorNo
NPI enumeratedMay 5, 2011
Last updated in NPPESMay 11, 2022
Certification dateMay 11, 2022

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