OrganizationActive
Idaho Dept of Health & Welfare Amhcalpgreg3
NPI 1104004928 · Prescribing (Medical) Psychologist · Caldwell, ID
Provider details
- NPI number
- 1104004928
- Entity type
- Organization
- Primary specialty
- Prescribing (Medical) PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Todd Hurt, Field Operations Manager(208) 455-7057
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
3402 Franklin Rd
Caldwell, ID 83605-6932
Phone: (208) 459-0092
Fax: (208) 454-7714
Approximate (ZIP-level) locationGet directions
Mailing address
3402 Franklin Rd
Caldwell, ID 83605-6932
Registry dates
- Enumerated
- 2008-02-04
- Last updated
- 2009-01-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.