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Individual

JOSEPH WASSIF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
606 N THIRD AVE STE 203, SANDPOINT, ID 83864-1691
(208) 265-1090
Mailing address
205 S LINCOLN AVE, SANDPOINT, ID 83864-8312
(304) 216-5106

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
PSY203081
ID
103TC1900X
Counseling Psychologist
103TP0016X
Prescribing (Medical) Psychologist
Primary
PSYPP-203519
ID

Other

Enumeration date
12/07/2015
Last updated
09/23/2022
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