Search › Idaho › 103TC1900X
Melissa Boley, LPCP
NPI 1578732293 · on the registry since 2008 · sole proprietor
Practice
- Address
- 333 South Main St Ste 104
Ketchum, ID 83340 - Phone
- (208) 726-7584
- Organisation at this address
- Braden C. Comstock, Dmd, Pllc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 103TC1900X
103TC1900X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-02-27
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