| NPI | 1780010090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL VERNON ANDERSON President, Cliical Neuropsychologis 208-522-3404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: ID 202288) |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2013-09-18 |