SearchIdaho1041C0700X

David Wynn, LCSW

NPI 1164859989 · on the registry since 2013 · sole proprietor

Practice

Address
1924 W Michelle Dr
Nampa, ID 83651
Phone
(208) 996-8402
Fax
(208) 213-2789

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-04-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho