| NPI | 1831282847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL S HAYES Owner 208-666-0357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: ID PSY244) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: ID PSY202250) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2013-04-23 |