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: RUSTY SMITH PSYD

MEDICARE: RUSTY SMITH PSYD
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
1103TC0700XClinical Psychologist203047ID

General Provider Information

NPI Number : 1235323320
Entity Type Code : Individual
Provider Name (Legal Business Name) : RUSTY SMITH PSYD
Provider Business Mailing Address
First Line : 740 E WARM SPRINGS AVE
Second Line :
City : BOISE
State : ID
Zip : 83712-6420
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 740 E WARM SPRINGS AVE
Second Line :
City : BOISE
State : ID
Zip : 83712-6420
Country : US
Telephone Number : 208-343-7797
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2007
Last Update Date : 01/16/2024

Similar Medicare Providers

1194834010 — CHILDREN'S HOME SOCIETY OF IDAHO
Practice Location Address:
740 WARM SPRINGS AVE
BOISE, ID
83712-6420
Practice Phone: 208-343-7797
Practice Fax: 208-343-0064
1285768705 — MRS. KRISTINE E KENDALL L.C.S.W.
Practice Location Address:
740 WARM SPRINGS AVE
BOISE, ID
83712-6420
Practice Phone: 208-343-7797
Practice Fax: 208-343-0064
1548454432 — MS. AMAYA AURORA EIGUREN M.A., L.P.C.
Practice Location Address:
740 WARM SPRINGS AVE
BOISE, ID
83712-6420
Practice Phone: 208-343-7797
Practice Fax:
1770730822 — JENNIFER MARIE HART LPC
Practice Location Address:
740 WARM SPRINGS AVE
BOISE, ID
83712-6420
Practice Phone: 208-343-7797
Practice Fax:
1346481413 — AMY THOMPSON LSW
Practice Location Address:
740 WARM SPRINGS AVE
BOISE, ID
83712-6420
Practice Phone: 208-343-7797
Practice Fax: 208-343-0064
1104053230 — MRS. REBECCA LEE WILSEY LSW
Practice Location Address:
740 WARM SPRINGS AVE
BOISE, ID
83712-6420
Practice Phone: 208-343-7797
Practice Fax: 208-343-0064

Directions to “ RUSTY SMITH PSYD” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.