Intermountain Center For Autism & Child Development

LBN: Tyler T Whitney Psyd Pc
Intermountain Center For Autism & Child Development is an health care organization with primary practice located at 2273 E Gala St Suite 120, Meridian ID 83642-7289. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty. Tyler T Whitney Psyd Pc can be contacted via phone (208) 888-7104, or through Whitney, Tyler T via phone (208) 888-7104.

Contact Information

Primary practice address
2273 E Gala St Suite 120 Meridian ID 83642-7289
Phone: (208) 888-7104
Fax: (208) 321-4789
Website:
Map and Directions
Authorized official contact:
Name: Whitney, Tyler T PSYD
Phone: (208) 888-7104

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X SE-202327 Idaho
Behavioral Health & Social Service Providers / Mental Health 101YM0800X SE202-374 Idaho
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY202-131 Idaho

Profile Details

NPI number 1659599850
LBN Legal business name Tyler T Whitney Psyd Pc
DBA Doing business as Intermountain Center For Autism & Child Development
Authorized official Whitney, Tyler T PSYD
Entity Organization
Organization subpart 1 No
Enumeration date Apr 23rd, 2007
Last updated Aug 22nd, 2020 - about 6 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.

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