| NPI | 1538336748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN A WOLFE Owner/Neuropsychologist 208-666-0357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: ID PSY-202250) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: ID PSY-202250) |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2019-08-26 |