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Ms. Joanna Elise Wiese
Clinical Psychologist in Mountain Home Afb, Idaho
NPI 1063711869

Joanna Elise Wiese is a Clinical Psychologist based in Boise, ID and is specialized in Clinical. Joanna Elise Wiese practices in Mountain Home Afb, ID. The NPI Number for Joanna Elise Wiese is 1063711869 and holds a License No. 203430 (Idaho).

The current practice location address for Joanna Elise Wiese is 90 Hope Dr Bldg 6000, Mountain Home Afb, ID and can be reached out via phone at 208-828-7581. You can also correspond with Joanna Elise Wiese through the mailing address at 9169 W STATE ST STE 725, BOISE, ID - 83714-1733 (mailing address contact number: 208-828-7581).

Location: 90 Hope Dr Bldg 6000, Mountain Home Afb, ID, 83714-1733
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063711869
Provider Name
Joanna Elise Wiese
Credential
Provider Entity Type
Individual
Gender
Female
Address
90 Hope Dr Bldg 6000, Mountain Home Afb, ID, 83714-1733
Phone Number
208-828-7581
Fax Number
Provider Enumeration Date
03/18/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
90 Hope Dr Bldg 6000
City
Mountain Home Afb
State
Idaho
Zip
83648-1062
Phone Number
208-828-7581
Fax Number
person
Provider Business Mailing Address Details
Address
90 Hope Dr Bldg 6000
City
Mountain Home Afb
State
Idaho
Zip
83648-1062
Phone Number
208-828-7581
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
203430 (Idaho)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
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