DR. CLARISSA MARIE EDGE RICHARDSON


Address: University of Idaho Student Health Center 210, Moscow, ID 83844-0001
Phone: 2088855081

DR. CLARISSA MARIE EDGE RICHARDSON (NPI# 1649764713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649764713
Entity Type Individual
Full Name DR. CLARISSA MARIE EDGE RICHARDSON
Credential PH.D.
Practice Address University of Idaho Student Health Center 210
Moscow
ID 83844-0001
Mailing Address 875 Perimeter Dr # 210
Moscow
ID 83844-3043
Practice Telephone 2088855081
Mailing Telephone 2088855081
Enumeration Date 2018-06-21
Last Update Date 2018-06-21
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC1900X Psychologist
Specialization: Counseling
PSY-203053 ID Behavioral Health & Social Service Providers

Other Providers CLARISSA RICHARDSON

NPI Name Taxonomy Address Enumeration
1710036504 Clarissa Mcrae Richardson Counselor 398 Hospital Rd, Sylva, NC 28779-5196 2007-01-09

Office Location

Street Address UNIVERSITY OF IDAHO STUDENT HEALTH CENTER 210
City MOSCOW
State ID
Zip Code 83844-0001

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578118568 Rechelle Ann Meade Specialist/Technologist 875 Perimeter Drive, Moscow, ID 83844 2019-08-06
1194253302 Tyler Atkinson Specialist/Technologist 875 Perimeter Dr, Moscow, ID 83844 2017-06-01
1720618960 Samantha Layne Hanna Specialist/Technologist 875 Perimeter Drive College of Education 123, Moscow, ID 83844-0001 2020-01-15
1588193577 Carmen Perez Specialist/Technologist University of Idaho 709 South Deakin St, Moscow, ID 83844-0001 2017-06-05
1013445220 Alec Webbenhurst Specialist/Technologist University of Idaho Athletic Training 875 Dr, Moscow, ID 83844-0001 2017-06-01
1194990044 William A. Cone Psychiatry & Neurology 831 Ash St, Moscow, ID 83844-0001 2008-04-22
1467855403 Clint Emmett Nurse Practitioner 875 Perimeter Dr # Ms 3140, Moscow, ID 83844-2006 2014-10-06
1922529544 Christopher John Walsh Jr. Specialist/Technologist University of Idaho Athletic Training Services, 1000 Stadium Way, Moscow, ID 83844-2302 2017-07-05
1700284262 Megan Renae Shifflett Specialist/Technologist 875 Perimeter Dr # Ms 2302, Moscow, ID 83844-2302 2014-12-16
1013044767 Megan Brooke Borchert Specialist/Technologist 442302 Asui Kibbie Dome, Moscow, ID 83844-2302 2007-02-28
Find all providers in zip 83844

Taxonomy Information

Taxonomy Code 103TC1900X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Counseling

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073748950 Nancy Sasse Sasser Psychologist 1060 Showalter Rd, Moscow, ID 83843-9199 2009-05-21
1720396252 Chia-chi Hu Psychologist 814 S Washington St, Moscow, ID 83843-3049 2010-09-17
1174533525 Alan J. Whitlock Psychologist 814 S Washington St, Moscow, ID 83843-3049 2006-08-08
1336106830 Dianne Ladon Phillips-miller Psychologist 814 S Washington St, Moscow, ID 83843-3049 2006-04-27
1437139607 Carolyn J. Wyatt Psychologist 814 S Washington St, Moscow, ID 83843-3049 2006-01-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1538583869 Meier Clinics of California Psychologist 360 East Avenue, Suite 200, Ketchum, ID 83340 2014-02-06
1841542982 Jeffrey Lee Elder II Psychologist 2335 Robison Dr, Rexburg, ID 83440-3310 2012-10-14
1336477207 Rd Boardman Psychologist Health Services 1529 Belmont St, Boise, ID 83725-0001 2009-12-03
1578732293 Melissa A Boley Psychologist 333 South Main St Ste 104, Ketchum, ID 83340 2008-02-27
1336361336 Jon E. Ashton Psychologist 2273 East Gala, Suite 100, Meridian, ID 83642-7289 2007-05-02
1184741282 Gregory W. Mondin Psychologist 220 W State St, Boise, ID 83702-6052 2007-03-23
1528105624 Laura Mckee Psy D L L C Psychologist 158 North 1st East Street, Driggs, ID 83422 2007-01-30
1619025251 Dale Arlan Babcock Psychologist 1500 West Barrett Drive, Meridian, ID 83642 2007-01-08
1942368253 Carl D. Haugen Psychologist 102 S 1st Ave Ste 202, Sandpoint, ID 83864-1398 2006-12-05
1124191895 Laura Mckee Psychologist 158 North First East Street, Driggs, ID 83422 2006-11-17
Find all providers with the same taxonomy

Competitor

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City MOSCOW
Zip Code 83844

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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