| Ms Joanna Elise Wiese, | |
|
90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648-1062 | |
| (208) 828-7581 | |
| Not Available |
| Full Name | Ms Joanna Elise Wiese |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical |
| Location | 90 Hope Dr Bldg 6000, Mountain Home Afb, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063711869 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 203430 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Joanna Elise Wiese, 9169 W State St Ste 725, Boise, ID 83714-1733 Ph: (208) 828-7581 | Ms Joanna Elise Wiese, 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648-1062 Ph: (208) 828-7581 |
Dr. Judy Ann Hafner, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648 Phone: 208-828-7580 Fax: 208-828-3940 | |
Le Ann Marie Egan, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648 Phone: 352-690-8936 | |
Dr. Paul Sahwell, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 90 Hope Dr, Mountain Home Afb, ID 83648 Phone: 208-828-7900 | |
Taylor Zurlinden, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 90 Hope Dr, Mountain Home Afb, ID 83648 Phone: 208-828-7590 | |
Dr. Paula Michelle Nordstrom, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 90 Hope Dr, Mountain Home Afb, ID 83648 Phone: 208-828-7139 |