Provider Demographics
NPI:1730375676
Name:AMARELLO AND WEBB PSYCHOLOGICAL ASSOCIATES, P.A.
Entity type:Organization
Organization Name:AMARELLO AND WEBB PSYCHOLOGICAL ASSOCIATES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SCHOOL PSYCHOLOGIST/PSYCHOMETRICIAN
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:L
Authorized Official - Last Name:MORRISEY
Authorized Official - Suffix:
Authorized Official - Credentials:EDS, LPC, NCSP
Authorized Official - Phone:208-376-0453
Mailing Address - Street 1:2995 N COLE RD
Mailing Address - Street 2:SUITE 255
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83704-5964
Mailing Address - Country:US
Mailing Address - Phone:208-376-0453
Mailing Address - Fax:208-376-0477
Practice Address - Street 1:2995 N COLE RD
Practice Address - Street 2:SUITE 255
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83704-5964
Practice Address - Country:US
Practice Address - Phone:208-376-0453
Practice Address - Fax:208-376-0477
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-24
Last Update Date:2007-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLPC-3612251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health