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1174682959
IDAHO STATE UNIVERSITY, PSYCHOLOGY CLINIC
POCATELLO, ID
NPI
1174682959
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Entity Type
Organization
Authorized Contact
ANTHONY J. CELLUCCI
Director Of Psych Clinic
208-282-2129
Organization Subpart ?
Yes
Primary Taxonomy
251S00000X
(Licence: ID 344)
Enumeration Date
2006-12-07
Last Update Date
2008-06-17
Business Address
IDAHO STATE UNIVERSITY, PSYCHOLOGY CLINIC
ISU PSYCHOLOGY CLINIC IDAHO STATE UNIVERSITY 921 S. 8TH AVENUE, STOP 8021
POCATELLO, ID 83209-0001
Phone number: 208-282-2129
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Mailing Address
IDAHO STATE UNIVERSITY, PSYCHOLOGY CLINIC
ISU PSYCHOLOGY CLINIC IDAHO STATE UNIVERSITY 921 S. 8TH AVENUE, STOP 8021
POCATELLO, ID 83209-0001
Phone number: 208-282-2129
Copy
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