Search › Idaho › 1041C0700X
Cory Beach, LCSW
NPI 1659733434 · on the registry since 2016 · sole proprietor
Practice
- Address
- 6485 W Interchange Ln Ste 110
Boise, ID 83709 - Phone
- (208) 402-8406
- Clinicians at this address
- 6
Additional practice sites
- 11702 W Tioga St, Boise, ID
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 104100000X
104100000X - Licence states on file
- ID, CO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-02-28
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