Advantage Psychological Services, PLLC
Organization Active NPI Clinical Psychologist · Boise, ID
NPI 1336333152 · NPPES record last updated Nov 15, 2007
Key facts
- NPI
- 1336333152
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PSY-202238 (ID)
- Legal business name
- ADVANTAGE PSYCHOLOGICAL SERVICES, PLLC
- Practice address
- 1070 N Curtis Rd
Suite 210
Boise, ID 83706-1238 - Phone
- (208) 906-2007
- NPI assigned
- Sep 5, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Allison Etnyre, PSY.D.
- Title
- Licensed Clinical Psychologist
- Phone
- (208) 906-2007
National Provider Directory
Locations
1070 N Curtis Rd
Ste 210
Boise, ID 83706
Phone (208) 631-5843
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist |
103TC0700X | PSY-202238 | ID | Yes |
| Clinical Psychologist |
103TC0700X | PSY-323 | ID |
Addresses
Primary practice location
1070 N Curtis Rd
Suite 210
Boise, ID 83706-1238
Mailing address
1070 N Curtis Rd
Suite 210
Boise, ID 83706-1238
Phone (208) 906-2007
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.