Allison Lee Etnyre is a Clinical in Boise, Idaho. Allison Lee Etnyre practices all healthcare services and medical treatments related to Clinical. The NPI Number for Allison Lee Etnyre is 1619001005. The last update date is 2008-06-10.
Allison Lee Etnyre's current location address is 1070 N Curtis Rd, Boise, Idaho. You can contact this provider via phone number 2088600770 and fax number 2083220367. The mailing address for Allison Lee Etnyre is 1070 N Curtis Rd, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Allison Lee Etnyre |
|---|---|
| Address | 1070 N Curtis Rd, Boise, Idaho |
| Phone Number | 2088600770 |
| Fax Number | 2083220367 |
| Sole Proprietor | Y |
| Credentials | PSY.D |
NPI Number Detail
| NPI Number | 1619001005 |
|---|---|
| Provider Enumeration Date | 2007-03-15 |
| Last Updated Date | 2008-06-10 |
Provider Mailing Address Detail
| Address | 1070 N Curtis Rd |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837061238 |
| Phone Number | 2088600770 |
| Fax Number | 2083220367 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY-202238 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| N6135 | ID | BLUE CROSS | |
| 10158559 | ID | REGENCE BLUE SHIELD | |
| 2269500 | ID | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Allison Lee Etnyre by the Centers for Medicare & Medicaid Services?
The Allison Lee Etnyre has been assigned the NPI (National Provider Identifier) 1619001005 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Allison Lee Etnyre's facilities are situated?
The facilities of Allison Lee Etnyre are physically located at the following address: 1070 N Curtis Rd, Boise, ID, 837061238.
What is the Allison Lee Etnyre's specialty and taxonomy code?
The Allison Lee Etnyre's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
When did Allison Lee Etnyre receive its 1619001005 assignment?
The Allison Lee Etnyre was assigned its 1619001005 on 2007-03-15, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Allison Lee Etnyre most recently updated or revised?
The details related to Allison Lee Etnyre, including its address, specialty, and other relevant information, were last updated or revised on 2008-06-10.