ROBERT ANDREW DE WALL LCPC NPI 1114228384

NPI Information

NPI: 1114228384
Provider Name: ROBERT ANDREW DE WALL, LCPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
444 HOSPITAL WAY STE 477
POCATELLO, ID
ZIP 83201
Phone: (208) 233-7832
Get Directions

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 enumeration date for this NPI number is 11/4/2010 and was last updated on 10/22/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	LCPC-4672	IDAHO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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