Search › Idaho › 103TC0700X
Kelly Petrino, PSY.D
NPI 1861784068 · on the registry since 2011
Practice
- Address
- 3350 W Americana Ter Ste 210
Boise, ID 83706 - Phone
- (406) 880-5568
- Organisation at this address
- Amee Hardy, Llc
Hart Counseling Llc
Rosewood Therapy Llc
Soul Good Counseling
Broader Wellness, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 38
Additional practice sites
- 334 E Broadway St, Missoula, MT
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Also registered as
- 101YM0800X
103T00000X - Licence states on file
- MT, WY, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-05-11
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