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DAVID E. NILSSON PH.D. P.C. NPI 1275891194


NPI Information

NPI: 1275891194
Provider Name: DAVID E. NILSSON, PH.D., P.C.

Doing Business As: THE NEURODEVELOPMENT RESOURCE CENTER

Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Organization
Address:
950 W BANNOCK ST STE 1100
BOISE, ID
ZIP 83702
Phone: (208) 947-5368
Get Directions

DAVID E. NILSSON, PH.D., P.C. is a clinical neuropsychologist in Boise, ID. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. DAVID E. NILSSON, PH.D., P.C. NPI is 1275891194. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As The Neurodevelopment Resource Center.

The provider's business location address is:

950 W BANNOCK ST STE 1100
BOISE, ID
ZIP 83702-140
Phone: (208) 947-5368
Fax: (888) 328-9210

The provider's authorized official is Cindy Nilsson .
The authorized official title is Clinic Director and has the following contact phone number (208) 947-5368.

The enumeration date for this NPI number is 4/28/2012 and was last updated on 4/28/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103G00000XClinical NeuropsychologistPSY-230IDAHOYes

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

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