DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. ALAN J. WHITLOCK PH.D.

MEDICARE:  DR. ALAN J. WHITLOCK  PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC1900XCounseling PsychologistPSY 340ID

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1N3405OTHERIDBLUE CROSS OF IDAHO
2000010017398OTHERIDREGENCE BLUE SHIELD OF ID

General Provider Information

NPI Number : 1174533525
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALAN J. WHITLOCK PH.D.
Provider Business Mailing Address
First Line : 814 S WASHINGTON ST
Second Line :
City : MOSCOW
State : ID
Zip : 83843-3049
Country : US
Telephone Number : 208-883-4026
Fax Number :
Provider Business Practice Location Address
First Line : 814 S WASHINGTON ST
Second Line :
City : MOSCOW
State : ID
Zip : 83843-3049
Country : US
Telephone Number : 208-883-4026
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2006
Last Update Date : 07/08/2007

Similar Medicare Providers

1881699536 — DR. BETH WADDEL PH.D.
Practice Location Address:
814 S WASHINGTON ST
MOSCOW, ID
83843-3049
Practice Phone: 280-883-4022
Practice Fax:
1902808736 — DAVE POTTER L.C.P.C.
Practice Location Address:
814 S WASHINGTON ST
MOSCOW, ID
83843-3049
Practice Phone: 208-883-0619
Practice Fax:
1336106830 — DIANNE LADON PHILLIPS-MILLER PH.D.
Practice Location Address:
814 S WASHINGTON ST
MOSCOW, ID
83843-3049
Practice Phone: 208-882-0619
Practice Fax: 208-882-4774
1396762043 — MRS. DIANA L PALS M. ED.
Practice Location Address:
814 S WASHINGTON ST
MOSCOW, ID
83843-3049
Practice Phone: 208-883-0619
Practice Fax: 208-882-4774
1538291554 — WEEKS AND VIETRI COUNSELING & COMMUNITY SERVICES. PS
Practice Location Address:
818 S WASHINGTON ST
MOSCOW, ID
83843-3049
Practice Phone: 208-882-8514
Practice Fax: 208-882-2784
1164543666 — MRS. KATHY LYNN KWIATKOWSKI LCPC
Practice Location Address:
814 S WASHINGTON ST
MOSCOW, ID
83843-3049
Practice Phone: 208-883-0619
Practice Fax: 208-882-4774

Directions to “ DR. ALAN J. WHITLOCK PH.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.