Idaho State University, Psychology Clinic

LBN: Idaho State University, Psychology Clinic
Idaho State University, Psychology Clinic is an health care organization with primary practice located at Isu Psychology Clinic Idaho State University 921 S. 8Th Avenue, Stop 8021, Pocatello ID 83209-0001. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Idaho State University, Psychology Clinic can be contacted via phone (208) 282-2129, or through Cellucci, Anthony J. via phone (208) 282-2129.

Contact Information

Primary practice address
Isu Psychology Clinic Idaho State University 921 S. 8Th Avenue, Stop 8021 Pocatello ID 83209-0001
Phone: (208) 282-2129
Fax: (208) 282-5411
Website:
Map and Directions
Authorized official contact:
Name: Cellucci, Anthony J. PH.D.
Phone: (208) 282-2129

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 344 Idaho

Profile Details

NPI number 1174682959
LBN Legal business name Idaho State University, Psychology Clinic
DBA Doing business as
Authorized official Cellucci, Anthony J. PH.D.
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 7th, 2006
Last updated Jun 17th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers