NPI 1285836825

Lynn Wierdsma, PSYD

Practitioner Clinical Psychologist Coeur D Alene, ID

Practice location

Address: 1115 W Ironwood Dr, Coeur D Alene, ID 83814-4936
Phone: (208) 665-7178
Mailing address: 4279 Idewild Loop APT 202, Coeur D Alene, ID 83814-7155

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence PY60271238 (WA)

Other Psychologist providers in Idaho →

Registry record

NPI: 1285836825
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Jun 2007
Record last updated: 22 May 2014

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.