DANIEL S HAYES 401K
Clinical Neuropsychologist
Coeur D Alene, Idaho
Provider NPI: 1831282847
Organization Information:Organization Name: DANIEL S HAYES 401K
Organization is not Subpart
Authorized Official: DANIEL S HAYES OWNER 208-6660357
Practice Location:
2190 W IRONWOOD CENTER DR STE 2 COEUR D ALENE, ID 83814 US
Tel: 208-666-0357 Fax: 208-666-0468
Business Mailing Address:
2190 W IRONWOOD CENTER DR STE 2 COEUR D ALENE, ID 83814 US
Tel: 208-666-0357 Fax: 208-666-0468
Entity Type: Organization
Taxonomy:
Organization is not Subpart
Authorized Official: DANIEL S HAYES OWNER 208-6660357
Practice Location:
2190 W IRONWOOD CENTER DR STE 2 COEUR D ALENE, ID 83814 US
Tel: 208-666-0357 Fax: 208-666-0468
Business Mailing Address:
2190 W IRONWOOD CENTER DR STE 2 COEUR D ALENE, ID 83814 US
Tel: 208-666-0357 Fax: 208-666-0468
Entity Type: Organization
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 103G00000X | Behavioral Health & Social Service Providers Clinical Neuropsychologist | ID | PSY202250 |
Y | 103TC0700X | Behavioral Health & Social Service Providers Psychologist | ID | PSY244 |