IDAHO STATE UNIVERSITY, PSYCHOLOGY CLINIC is a community behavioral health in Pocatello, ID. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. IDAHO STATE UNIVERSITY, PSYCHOLOGY CLINIC NPI is 1174682959. The provider is registered as an organization entity type.
The provider's business location address is:
ISU PSYCHOLOGY CLINIC IDAHO STATE UNIVERSITY
921 S. 8TH AVENUE, STOP 8021
POCATELLO, ID
ZIP 83209-001
Phone: (208) 282-2129
Fax: (208) 282-5411
The provider's authorized official is Anthony J. Cellucci .
The authorized official title is Director Of Psych Clinic and has the following contact phone number (208) 282-2129.
The enumeration date for this NPI number is 12/7/2006 and was last updated on 6/17/2008.