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Organization

IDAHO NEURO DYNAMICS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN DEWIG MS, LMFT, QEEG-DL (CEO/MEDICAL DIRECTOR)
(208) 603-9946
Entity
Organization

Contact information

Practice address
901 SPRUCE ST APT A, SANDPOINT, ID 83864-5024
(208) 603-9946
Mailing address
901 SPRUCE ST APT A, SANDPOINT, ID 83864-5024
(208) 603-9946

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
02/02/2026
Last updated
02/02/2026
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