Search › Idaho › 1041C0700X
Robert Siddoway, LCSW
NPI 1235523457 · on the registry since 2015
Practice
- Address
- 254 E St
Suite B
Idaho Falls, ID 83402 - Phone
- (208) 339-0816
- Organisation at this address
- D7 Treatment
Id Dept Of Health & Welfare Cshp (Hd7)
Id Dept Of Health & Welfare Cshp (Hd6)Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 21
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-04-24
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