SearchIdaho1041C0700X

Travis Bybee, LCSW

NPI 1821299280 · on the registry since 2007 · sole proprietor

Practice

Address
767 S Woodruff Ave
Idaho Falls, ID 83401
Phone
(208) 542-0352
Fax
(208) 542-0359

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-09

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