JAMIE RAE CHAMPION P.H.D.
Clinical Neuropsychologist
Meridian, Idaho
Provider NPI: 1952319394
Provider Information:JAMIE RAE CHAMPION P.H.D.
Gender: F
Sole Proprietor
Practice Location:
2365 E GALA ST SUITE #2 MERIDIAN, ID 83642 US
Tel: 208-288-1920 Fax: 208-288-2844
Business Mailing Address:
2365 E GALA ST SUITE #2 MERIDIAN, ID 83642 US
Tel: 208-288-1920 Fax: 208-288-2844
Entity Type: Individual
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
X | 103G00000X | Behavioral Health & Social Service Providers Clinical Neuropsychologist | ID | PSY-373 |
X | 103TC0700X | Behavioral Health & Social Service Providers Psychologist | ID | PSY 373 |