Ellen Louise Jaeger in Coeur D Alene - Psychologist
Ellen Louise Jaeger - NPI 1356435614
Ellen Louise Jaeger is a Psychologist in Coeur D Alene, Idaho. Ellen Louise Jaeger practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Ellen Louise Jaeger is 1356435614. The last update date is 2007-07-09.
Ellen Louise Jaeger's current location address is 1115 Ironwood Drive, Coeur D Alene, Idaho. You can contact this provider via phone number 2087650955 and fax number 2087656972. The mailing address for Ellen Louise Jaeger is 1115 Ironwood Drive, Coeur D Alene, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ellen Louise Jaeger |
|---|---|
| Address | 1115 Ironwood Drive, Coeur D Alene, Idaho |
| Phone Number | 2087650955 |
| Fax Number | 2087656972 |
| Sole Proprietor | N |
| Credentials | PHD LP |
NPI Number Detail
| NPI Number | 1356435614 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 1115 Ironwood Drive |
|---|---|
| City | Coeur D Alene |
| State | Idaho (ID) |
| Post Code | 838144936 |
| Phone Number | 2087650955 |
| Fax Number | 2087656972 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PSY202116 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10145796 | BLUE CROSS BLUE SHIELD | ||
| N5822 | ID | BLUE CROSS OF IDAHO |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Ellen Louise Jaeger by the Centers for Medicare & Medicaid Services?
The Ellen Louise Jaeger has been assigned the NPI (National Provider Identifier) 1356435614 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Ellen Louise Jaeger is geographically located?
The Ellen Louise Jaeger is physically situated at the following location: 1115 Ironwood Drive, Coeur D Alene, ID, 838144936.
What is Ellen Louise Jaeger's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Ellen Louise Jaeger is Psychologist, and the taxonomy classification code that categorizes this area of expertise is 103T00000X.
On what date did the Ellen Louise Jaeger receive the assignment of its 1356435614 from the Centers for Medicare & Medicaid Services?
The Ellen Louise Jaeger was issued its 1356435614 by the Centers for Medicare & Medicaid Services on 2006-10-03.
As of what date were the details related to Ellen Louise Jaeger most recently updated or revised?
The information pertaining to Ellen Louise Jaeger, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-09.
NPI Number: 1881695104
Address: 3841 Green Hills Village Dr Ste 200, Nashville, TN