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CALDWELL PSYCHOLOGICAL SERVICES, P.A.

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Company Details

Name: CALDWELL PSYCHOLOGICAL SERVICES, P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 15 Jun 2011 (14 years ago)
Financial Date End: 30 Jun 2026
Entity Number: 578043
Place of Formation: IDAHO
File Number: 578043
ZIP code: 83605
County: Canyon County
Mailing Address: 1815 S 10TH AVE CALDWELL, ID 83605-4840

Agent

Name Role Address
PHARES BOOK PSYD Agent 1815 S. 10TH AVENUE, Caldwell, ID 83605

President

Name Role Address Appointed On
Phares Book President 1815 S. 10TH AVENUE, CALDWELL, ID 83605 2021-05-03

National Provider Identifier

NPI Number:
1104083724

Authorized Person:

Name:
PHARES LINDEMAN BOOK
Role:
PSYCHOLOGIST
Phone:

Taxonomy:

Selected Taxonomy:
251S00000X - Community/Behavioral Health Agency
Is Primary:
Yes

Contacts:

Fax:
2084594476

Filing

Filing Name Filing Number Filing date
Annual Report 0006293643 2025-06-03
Annual Report 0005734056 2024-05-10
Annual Report 0005219143 2023-05-03
Annual Report 0004724771 2022-05-03
Annual Report 0004262797 2021-05-03

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Date of last update: 09 Jun 2025

Sources: Idaho Secretary of State