Mallory Murphy | |
172 S Academy Ave Ste 150 Eagle ID 83616-6564 | |
(208) 891-6439 | |
Not Available |
Full Name | Mallory Murphy |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 172 S Academy Ave Ste 150, Eagle, Idaho |
Authorized Official Name and Position | Mallory Murphy (OWNER) |
Authorized Official Contact | 2088916439 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mallory Murphy 172 S Academy Ave Ste 150 Eagle ID 83616-6564 Ph: () - | Mallory Murphy 172 S Academy Ave Ste 150 Eagle ID 83616-6564 Ph: (208) 891-6439 |
NPI Number | 1497478002 |
---|---|
Provider Enumeration Date | 09/20/2022 |
Last Update Date | 09/20/2022 |
Certification Date | 09/20/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497478002 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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