Search › Idaho › 101YA0400X
Taryn Ivie, CADC
NPI 1124412747 · on the registry since 2015 · sole proprietor
Practice
- Address
- 1320 N 3300 E
Ashton, ID 83420 - Phone
- (208) 589-9054
- Fax
- (208) 624-1351
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-03-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho