Kathleen Deidrick, PHD

NPI 1891742540 · on the registry since 2006

Practice

Address: 100 E Idaho St
Ste 200
Boise, ID 83712
Phone: (208) 381-5000
Organisation at this address: Woman'S Clinic
Ob-Gyn Center Pa
Pediatric Surgery Of Idaho
Jonathan Kramer, M.D., Pllc
Mountain States Oncology Group
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 211

Registry record

Primary taxonomy: Clinical Psychologist
103TC0700X
Also registered as: Clinical Psychologist
Licence states on file: MO, ID
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2014-02-21

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