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Clearwater Psychiatry PLLC — NPI 1487318960, Boise, ID | NPI Central

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NPI 1487318960

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Clearwater Psychiatry PLLC

NPI 1487318960 · Psychiatry Physician · Boise, ID

Provider details

NPI number: 1487318960
Entity type: Organization
Primary specialty: Psychiatry PhysicianAllopathic & Osteopathic Physicians
Authorized official: Cheri Peterson, Credentialing Specialist

Practice location

413 N Allumbaugh St Ste 101

Boise, ID 83704-9219

Phone: (208) 323-1125

Fax: (208) 323-9604

More ID providers

Mailing address

413 N Allumbaugh St Ste 101

Boise, ID 83704-9219

Registry dates

Enumerated: 2021-10-29
Last updated: 2021-10-29

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.