Doctor Name: | MS. RIT LARAE NAUMAN |
NPI Number: | 1003989658 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCPC |
License Number: | 2939 |
Business Practice Address: | 3330 Highway 30 W Pocatello, ID - 832016001 |
Business Phone Number: | 2082349100 |
Business Fax Number: | 2082349104 |
Mailing Address: | 2625 S Fairway Dr, POCATELLO |
State: | ID |
Postal Code: | 832012374 |
Phone Number: | 2082372166 |
Fax Number: | |
NPI Enumeration Date: | 11/15/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 2939 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ID |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |