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Organization
THE WISE MIND INSTITUTE, A PSYCHOLOGICAL CORPORATION
Active
Organization
THE WISE MIND INSTITUTE, A PSYCHOLOGICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WESLEY R PEDERSON PH.D. (OWNER)
(650) 213-2133
Entity
Organization
Contact information
Practice address
617 VETERANS BLVD STE 107, REDWOOD CITY, CA 94063-1404
(650) 213-2133
Mailing address
617 VETERANS BLVD STE 107, REDWOOD CITY, CA 94063-1404
(650) 503-8179
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY23743
CA
103T00000X
Psychologist
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
08/24/2015
Last updated
05/23/2023
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