Dorian W Asher, PSYD
Individual provider Active NPI Clinical Psychologist · Idaho Falls, ID
NPI 1477899284 · NPPES record last updated Jun 13, 2022
Key facts
- NPI
- 1477899284
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PSY-203361 (ID)
- Practice address
- 101 S Park Ave Ste 8
Idaho Falls, ID 83402-3627 - Phone
- (866) 437-7924
- NPI assigned
- Dec 26, 2012
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY-203361 | ID | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Starlight Psychological Services PLLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY-203361 | ID | Yes |
Addresses
Primary practice location
101 S Park Ave Ste 8
Idaho Falls, ID 83402-3627
Mailing address
101 S Park Ave Ste 8
Idaho Falls, ID 83402-3627
Phone (866) 437-7924
Other practice location 1
1311 N Dixie Hwy
Elizabethtown, KY 42701-2621
Phone (270) 769-1304
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All providers in Idaho Falls, ID · Clinical Psychologist in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2022. 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.