David Wynn's National Provider Identifier (NPI) Details
David Wynn, LCSW
NPI: 1164859989
Enumeration Date: 2013-10-11
Last updated: 2016-03-16
Sole Proprietor: NO
Status: active
Postal Address: 3340 E GOLDSTONE WAY, MERIDIAN, ID
Phone: 208-367-2175
Primary Practice Address: 131 N ALLUMBAUGH ST, BOISE, ID
Practice's phone: 208-367-2175