OrganizationActive
Clearwater Neurosciences PLLC
NPI 1760086300 · Psychiatry Physician · Lewiston, ID
Provider details
- NPI number
- 1760086300
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gail Richardson, Office Manager(208) 746-2223
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3326 4th St Ste 6
Lewiston, ID 83501-4455
Phone: (208) 746-2223
Fax: (208) 746-2226
Approximate (ZIP-level) locationGet directions
Mailing address
3326 4th St Ste 6
Lewiston, ID 83501-4455
Registry dates
- Enumerated
- 2020-11-24
- Last updated
- 2020-11-24
- Certified
- 2020-11-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.