Craig W. Beaver in Boise - Clinical Neuropsychologist
Craig W. Beaver - NPI 1225176498
Craig W. Beaver is a Clinical Neuropsychologist in Boise, Idaho. Craig W. Beaver practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Craig W. Beaver is 1225176498. The last update date is 2007-07-08.
Craig W. Beaver's current location address is 250 Bobwhite Ct Ste 220, Boise, Idaho. You can contact this provider via phone number 2083362972 and fax number 2083364408. The mailing address for Craig W. Beaver is 250 Bobwhite Ct Ste 220, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Craig W. Beaver |
|---|---|
| Address | 250 Bobwhite Ct Ste 220, Boise, Idaho |
| Phone Number | 2083362972 |
| Fax Number | 2083364408 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1225176498 |
|---|---|
| Provider Enumeration Date | 2007-02-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 250 Bobwhite Ct Ste 220 |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837063983 |
| Phone Number | 2083362972 |
| Fax Number | 2083364408 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
| Licence No | PSY-173 |
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Definition: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10016209 | ID | BLUE SHIELD | |
| N1730 | ID | BLUE CROSS |
Post Comment/ Review Below
What is the unique identification code assigned to Craig W. Beaver by the Centers for Medicare & Medicaid Services?
The Craig W. Beaver has been issued the NPI (National Provider Identifier) 1225176498. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Craig W. Beaver?
The Craig W. Beaver is physically situated at 250 Bobwhite Ct Ste 220, in the city of Boise, state of ID, with the postal code 837063983.
What is the Craig W. Beaver's area of specialization and corresponding taxonomy classification?
The Craig W. Beaver's specialty field is Clinical Neuropsychologist, and it falls under the taxonomy code 103G00000X, which categorizes healthcare providers based on their specialties.
On what date was the 1225176498 assigned to Craig W. Beaver?
The Craig W. Beaver was issued its 1225176498 on 2007-02-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Craig W. Beaver most recently updated or refreshed?
The details pertaining to the Craig W. Beaver, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.