Robert Andrew De Wall, LCPC is a professional counselor in Pocatello, ID. Robert Andrew De Wall, LCPC NPI is 1114228384. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
444 HOSPITAL WAY STE 477
POCATELLO, ID
ZIP 83201-744
Phone: (208) 233-7832
Fax: (208) 233-7835
The NPI 1114228384 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.
The enumeration date for this NPI number is 11/4/2010 and was last updated on 10/22/2021.