Payton Erdmann

Individual provider Active NPI Marriage & Family Therapist · Coeur D Alene, ID

NPI 1861228405 · NPPES record last updated Sep 10, 2024

Key facts

NPI
1861228405
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
Practice address
1579 W Riverstone Dr Ste 101
Coeur D Alene, ID 83814-1013
Phone
(208) 435-0788
NPI assigned
Sep 10, 2024
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Yes

Addresses

Primary practice location

1579 W Riverstone Dr Ste 101
Coeur D Alene, ID 83814-1013

Mailing address

1301 S Carnahan Rd Apt A408
Spokane Valley, WA 99212-3292

Other providers in Coeur D Alene, ID

All providers in Coeur D Alene, ID · Marriage & Family Therapist in Idaho

Sources for this page

Verify at the official NPI Registry.