Provider Demographics
NPI:1467994616
Name:HEATHER ESKRIDGE HOYT PHD LLC
Entity Type:Organization
Organization Name:HEATHER ESKRIDGE HOYT PHD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:E
Authorized Official - Last Name:HOYT
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:208-344-2071
Mailing Address - Street 1:671 E RIVERPARK LANE STE 220
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83706-6559
Mailing Address - Country:US
Mailing Address - Phone:208-344-2071
Mailing Address - Fax:208-344-2075
Practice Address - Street 1:671 E RIVERPARK LANE STE 220
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83706-6559
Practice Address - Country:US
Practice Address - Phone:208-344-2071
Practice Address - Fax:208-344-2075
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-04
Last Update Date:2016-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDPSY-202988103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID1144771338OtherIND NPI