Ross Ginkel Psyd PLLC
Psychologist, Clinical in Meridian, ID. Organization (NPI-2).
NPI number1982142071
StatusActive
Last updated in NPPESFeb 8, 2017
Details
- NPI
- 1982142071
- Entity type
- Organization (NPI-2)
- Legal business name
- Ross Ginkel Psyd PLLC
- Organization subpart
- No
- Enumeration date
- Feb 8, 2017
- Last updated
- Feb 8, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | PSY 203014 | ID | Yes |
Practice location
750 W Ustick RdSuite 120
Meridian, ID 83646-6133
Phone 208-366-1601 · Fax 208-366-1602
Mailing address
750 W Ustick RdSuite 120
Meridian, ID 83646-6133
Phone 208-366-1601 · Fax 208-366-1602
Authorized official
Ross Ginkel
Owner
5039392484
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