Edward Northam, PH.D

NPI 1326059072 · on the registry since 2006 · sole proprietor

Practice

Address: 923 16th Ave S
Nampa, ID 83651
Phone: (208) 965-8788
Fax: (208) 965-2789
Organisation at this address: Blue Sky Behavioral Health
Stellar Mental Health & Mediation, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 101YP2500X
101YP2500X
Also registered as: 101YM0800X
Licence states on file: NE, ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2015-11-18

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