Cornerstone Psychological Associates, Pllc in Boise - Clinical
Cornerstone Psychological Associates, Pllc - NPI 1184766396
Cornerstone Psychological Associates, Pllc is a Clinical in Boise, Idaho. Cornerstone Psychological Associates, Pllc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Cornerstone Psychological Associates, Pllc is 1184766396. The last update date is 2018-12-12.
Cornerstone Psychological Associates, Pllc's current location address is 1755 N Westgate Dr, Boise, Idaho. You can contact this provider via phone number 2083730790 and fax number 2083730816. The mailing address for Cornerstone Psychological Associates, Pllc is 1755 N Westgate Dr, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Cornerstone Psychological Associates, Pllc |
|---|---|
| Address | 1755 N Westgate Dr, Boise, Idaho |
| Phone Number | 2083730790 |
| Fax Number | 2083730816 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Lipetzky Al Joseph |
| Credentials | PSYD |
| Telephone Number | 2083730790 |
NPI Number Detail
| NPI Number | 1184766396 |
|---|---|
| Provider Enumeration Date | 2007-02-13 |
| Last Updated Date | 2018-12-12 |
Provider Mailing Address Detail
| Address | 1755 N Westgate Dr |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837047174 |
| Phone Number | 2083730790 |
| Fax Number | 2083730816 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
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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 |
|---|---|---|---|
| 342018 | ID | MANAGED HEALTH NETWORK | |
| 8G759 | ID | BLUE CROSS OF IDAHO |
Post Comment/ Review Below
What is the unique provider identifier assigned to Cornerstone Psychological Associates, Pllc?
The Cornerstone Psychological Associates, Pllc has been issued the NPI (National Provider Identifier) 1184766396 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Cornerstone Psychological Associates, Pllc is located?
The Cornerstone Psychological Associates, Pllc is situated at the following address: 1755 N Westgate Dr, Boise, ID, 837047174.
What is the Cornerstone Psychological Associates, Pllc's specialty and taxonomy code?
The Cornerstone Psychological Associates, Pllc's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did the Cornerstone Psychological Associates, Pllc receive the assignment of its 1184766396 from the Centers for Medicare & Medicaid Services?
The Cornerstone Psychological Associates, Pllc was issued its 1184766396 by the Centers for Medicare & Medicaid Services on 2007-02-13.
As of what date were the details pertaining to Cornerstone Psychological Associates, Pllc last refreshed?
The information related to the Cornerstone Psychological Associates, Pllc, including its address, specialty, and other relevant details, was last updated on 2018-12-12.
NPI Number: 1588667679
Address: 9104 Babcock Blvd, Pittsburgh, PA