Michael Wiederstein in Elk Grove - Psychologist
Michael Wiederstein - NPI 1609918838
Michael Wiederstein is a Psychologist in Elk Grove, California. Michael Wiederstein practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Michael Wiederstein is 1609918838. The last update date is 2007-07-08.
Michael Wiederstein's current location address is 9120 Trumbauer Way, Elk Grove, California. You can contact this provider via phone number 9166625893. The mailing address for Michael Wiederstein is 9120 Trumbauer Way, Elk Grove, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Michael Wiederstein |
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Address | 9120 Trumbauer Way, Elk Grove, California |
Phone Number | 9166625893 |
Fax Number | |
Sole Proprietor | Y |
Credentials | PH.D. |
NPI Number Detail
NPI Number | 1609918838 |
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Provider Enumeration Date | 2007-02-13 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 9120 Trumbauer Way |
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City | Elk Grove |
State | California (CA) |
Post Code | 95758 |
Phone Number | 9166625893 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Psychologist |
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Taxonomy | 103T00000X |
Licence No | PSY 11582 |
Definition: 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 proce |
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What is the unique 10-digit identifier code assigned to Michael Wiederstein by the Centers for Medicare & Medicaid Services?
The Michael Wiederstein has been issued the NPI (National Provider Identifier) 1609918838 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Michael Wiederstein?
The Michael Wiederstein is situated at 9120 Trumbauer Way, in the city of Elk Grove, state of CA, with the zip code 95758.
What is the Michael Wiederstein's specialty and taxonomy code?
The Michael Wiederstein's specialty is Psychologist, and the corresponding taxonomy code is 103T00000X.
On what date was the 1609918838 assigned to Michael Wiederstein?
The Michael Wiederstein was issued its 1609918838 on 2007-02-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Michael Wiederstein's details last updated?
The information pertaining to the Michael Wiederstein, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1902809924
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