Tammy L Felps, PHD, SE, LCPC

Individual provider Active NPI Clinical Psychologist · Twin Falls, ID

NPI 1629465174 · NPPES record last updated Apr 30, 2021

Key facts

NPI
1629465174
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Psychologist 103TC0700X
License
SE-203241 (ID)
Practice address
264 Main Ave S
Twin Falls, ID 83301-6232
Phone
(208) 734-0407
Fax
(208) 734-3534
NPI assigned
Apr 22, 2015
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LCPC-7507IDMDMental Health Counselor
SE-203241IDMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Resolutions Therapy Plus and Retreat Center Counselor Current
since Aug 25, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X SE-203241 ID Yes
Mental Health Counselor 101YM0800X LCPC-7507 ID

Addresses

Primary practice location

264 Main Ave S
Twin Falls, ID 83301-6232

Mailing address

264 Main Ave S
Twin Falls, ID 83301-6232
Phone (208) 734-0407

Other providers in Twin Falls, ID

All providers in Twin Falls, ID · Clinical Psychologist in Idaho

Sources for this page

Verify at the official NPI Registry.