DG Psychiatric Services LLC
Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Lewiston, ID
NPI 1497318422 · NPPES record last updated Apr 16, 2019
Key facts
- NPI
- 1497318422
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- Legal business name
- DG PSYCHIATRIC SERVICES LLC
- Practice address
- 523 1/2 Main St Ste 7
Lewiston, ID 83501-1870 - Phone
- (208) 413-9973
- Fax
- (208) 413-9976
- NPI assigned
- Apr 16, 2019
- Organization subpart
- No
Authorized official
- Name
- Dino J Giolitti, ARNP
- Title
- Owner
- Phone
- (208) 413-9973
Practitioners 2
-
Rebecca Ann Bohnenkamp, LCSW
-
Brandon McIntosh, LCSW
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | Yes |
Addresses
Primary practice location
523 1/2 Main St Ste 7
Lewiston, ID 83501-1870
Mailing address
928 Grelle Ave
Lewiston, ID 83501-5202
Phone (208) 413-9973
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All providers in Lewiston, ID · Psychiatric/Mental Health Nurse Practitioner in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2019. 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.