Susan Martin Therapy And Wellness Pllc | |
9474 W Fairview Ave Boise ID 83704-8101 | |
(208) 629-7730 | |
Not Available |
Full Name | Susan Martin Therapy And Wellness Pllc |
---|---|
Speciality | Clinic/center - Adult Mental Health |
Location | 9474 W Fairview Ave, Boise, Idaho |
Authorized Official Name and Position | Susan Martin (OWNER) |
Authorized Official Contact | 2086297730 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Susan Martin Therapy And Wellness Pllc Po Box 140514 Boise ID 83714-0514 Ph: () - | Susan Martin Therapy And Wellness Pllc 9474 W Fairview Ave Boise ID 83704-8101 Ph: (208) 629-7730 |
NPI Number | 1245948819 |
---|---|
Provider Enumeration Date | 11/11/2022 |
Last Update Date | 11/11/2022 |
Certification Date | 10/18/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245948819 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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