NPI 1164300778

Jared Thomas John, PSY

Practitioner School Psychologist Idaho Falls, ID

Practice location

Address: 2001 S Woodruff Ave STE 9, Idaho Falls, ID 83404-6371
Phone: (208) 419-3002
Fax: (208) 656-5652

Registered specialties

School Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TS0200X Licence PSY-9671673 (ID)

Other Psychologist providers in Idaho →

Registry record

NPI: 1164300778
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Aug 2025
Record last updated: 12 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.