| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 05/15/2008 |
| Last Update Date | 08/26/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538336748 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | PSY-202250 (Idaho) | Secondary |
| 103TC0700X | Psychologist - Clinical | PSY-202250 (Idaho) | Primary |