Individual
MR. JOHN A WOLFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
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
Primary
PY00001237
WA
Other
Enumeration date
12/01/2005
Last updated
08/26/2019
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