KATHLEEN MCCANN DEIDRICK

BOISE, ID
NPI1891742540
Former NameKATHLEEN KEELY MCCANN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist Clinical
(Licence: ID  PSY202777)
Additional Taxonomies103TC0700X Psychologist Clinical
(Licence: MO  2003023860)
Enumeration Date2006-05-28
Last Update Date2014-02-21
Business Address
KATHLEEN MCCANN DEIDRICK PHD
100 E IDAHO ST STE 200
BOISE, ID 83712-6267
Phone number: 208-381-5000
Mailing Address
KATHLEEN MCCANN DEIDRICK PHD
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222