OrganizationActive
Ct Clancy MD LLC
NPI 1558639971 · Psychiatry Physician · Boise, ID
Provider details
- NPI number
- 1558639971
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Alison Dunbar, Billing Manager(208) 954-5572
- License
- M-11479 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
413 N Allumbaugh St
Suite 101
Boise, ID 83704-9212
Phone: (208) 323-1125
Fax: (208) 323-9604
Approximate (ZIP-level) locationGet directions
Mailing address
413 N Allumbaugh St
Boise, ID 83704-9212
Registry dates
- Enumerated
- 2011-12-13
- Last updated
- 2011-12-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.