Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Meridian Neuropsychology PLLC

Organization Clinical Neuropsychologist · NPI 1114321163

Meridian Neuropsychology PLLC provides Clinical Neuropsychologist services in Meridian, Idaho. Licensed in Idaho. Registered with an NPI since 2014.

Licensed in
ID
In the registry since
2014
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3061 S Meridian Rd Ste 100
Meridian, ID 83642-7962
Phone: (208) 895-9852
Fax: (208) 629-1231
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence PSY-202728 (ID)
Clinical Psychologist Taxonomy 103TC0700X · Licence PSY-202728 (ID)

Record details

NPI number1114321163
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Southwick — Manager · (208) 895-9852
NPI enumeratedOctober 20, 2014
Last updated in NPPESMay 18, 2024
Certification dateMay 18, 2024
Mailing address3597 E Monarch Sky Ln Ste 240, Meridian, ID 83646-1055

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