Search › Idaho › 101YM0800X
Shawna Eddy Kissell, PSYCHOLOGIST, LCPC
NPI 1780209288 · on the registry since 2020 · sole proprietor
Practice
- Address
- 541 W 3rd St
Weiser, ID 83672 - Phone
- (208) 549-0995
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 103T00000X
103T00000X - Licence states on file
- PA, OR, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-06-10
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