Organization
JOHN A WOLFE, PH.D., LLC AND ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN A WOLFE PH.D. (OWNER/NEUROPSYCHOLOGIST)
(208) 666-0357
Entity
Organization
Contact information
Practice address
296 W. SUNSET AVE, STE 15, COEUR D'ALENE, ID 83815-8366
(208) 666-0357
(208) 666-0468
Mailing address
296 W. SUNSET AVE, STE 15, COEUR D'ALENE, ID 83815-8366
(208) 666-0357
(208) 666-0468
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PSY-202250
ID
103TC0700X
Clinical Psychologist
Primary
PSY-202250
ID
Other
Enumeration date
05/15/2008
Last updated
08/26/2019
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