IndividualActive
Deborah Clark
NPI 1619712429 · Marriage & Family Therapist · Idaho Falls, ID
Provider details
- NPI number
- 1619712429
- Entity type
- Individual
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
2265 W Broadway St
Idaho Falls, ID 83402-2996
Phone: (208) 524-7400
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1594
West Yellowstone, MT 59758-1594
Registry dates
- Enumerated
- 2024-06-25
- Last updated
- 2025-10-01
- Certified
- 2025-10-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.