| NPI | 1215153432 |
|---|---|
| Doing Business As | PAIN MANAGEMENT PSYCHOLOGY |
| Entity Type | Organization |
| Authorized Contact | LAVERL H WILHELM President, Psychologist 208-676-0926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: ID Psychology 202060) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2007-09-28 |