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Michael Brinker, PsyD

Psychologist, Clinical in Meridian, ID. Individual provider (NPI-1).

NPI number1053679985
StatusActive
Last updated in NPPESAug 15, 2017

Details

NPI
1053679985
Entity type
Individual (NPI-1)
Name
Michael Brinker
Credential
PsyD
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 28, 2012
Last updated
Aug 15, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TC0700X Psychologist, Clinical202751IDYes

Practice location

2076 S Eagle Rd
Meridian, ID 83642-6707

Phone 289-775-4515

Mailing address

711 West Village Lane
Boise, ID 83702

Phone 303-681-8712

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