John A Wolfe, Ph.d., Llc And Associates | |
296 W. Sunset Ave Ste 15 Coeur D'alene ID 83815-8366 | |
(208) 666-0357 | |
(208) 666-0468 |
Full Name | John A Wolfe, Ph.d., Llc And Associates |
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Speciality | Psychologist - Clinical |
Location | 296 W. Sunset Ave, Coeur D'alene, Idaho |
Authorized Official Name and Position | John A Wolfe (OWNER/NEUROPSYCHOLOGIST) |
Authorized Official Contact | 2086660357 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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John A Wolfe, Ph.d., Llc And Associates 296 W. Sunset Ave Ste 15 Coeur D'alene ID 83815-8366 Ph: (208) 666-0357 | John A Wolfe, Ph.d., Llc And Associates 296 W. Sunset Ave Ste 15 Coeur D'alene ID 83815-8366 Ph: (208) 666-0357 |
NPI Number | 1538336748 |
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Provider Enumeration Date | 05/15/2008 |
Last Update Date | 08/26/2019 |
Identifier | Type | State | Issuer |
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1538336748 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103G00000X | Clinical Neuropsychologist | PSY-202250 (Idaho) | Secondary |
103TC0700X | Psychologist - Clinical | PSY-202250 (Idaho) | Primary |