Individual provider · Type 1 NPI
Jordan M. Wisner, PhD
Psychologist · Boise, ID
Practice location
444 W Fort St Fl 2
Boise, ID 83702-4535
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist Primary | 103T00000X | None listed |
Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…
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About NPI 1255847786
Jordan M. Wisner, PhD's National Provider Identifier is 1255847786, issued on Dec 20, 2017. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Boise, ID. The record was last updated on Aug 30, 2023.