Search › Idaho › 104100000X
Tina Cleverley, LMSW
NPI 1760174957 · on the registry since 2023
Practice
- Address
- 1810 W Broadway St
Idaho Falls, ID 83402 - Phone
- (208) 552-7011
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Also registered as
- 104100000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-05-24
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