Cameron Staley, PSYCHOLOGIST Valid NPI
Individual provider · Clinical Psychologist · Chubbuck, ID
- NPI
- 1932811163
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Psychologist (Psychologist)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 103TC0700X
- License number
- PSY202707 (ID)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2022-12-19
- Last updated
- 2024-04-17
Practice location
5026 Cassie Dr
Chubbuck, ID 83202-5252
(801) 644-2006