RUSSELL ANDREW MCCANN

BOISE, ID
NPI1053566109
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: WA  PY60317242)
Enumeration Date2008-11-17
Last Update Date2023-08-30
Business Address
Dr. RUSSELL ANDREW MCCANN
444 W FORT ST FL 2
BOISE, ID 83702-4535
Phone number: 208-422-1018
Mailing Address
Dr. RUSSELL ANDREW MCCANN
444 W FORT ST FL 2
BOISE, ID 83702-4535
Phone number: 208-422-1018