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Contact Information

PANHANDLE BEHAVIOAL HEALTH
212 S 11TH ST
SUITE 5
COEUR D'ALENE, ID83814-4000
 Phone: 208-755-6121
 Fax: 208-667-2681
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation

103TR0400X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for PANHANDLE BEHAVIOAL HEALTH · (Female)

NPI Number 1851423446
Status Active
Credentials
Entity Individual
Enumeration date 03/10/2007
Last updated 08/07/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • ID Medicaid 806144500
  • ID Other PSY90 PSYCHOLOGY LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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