Individual
DR. SANDRA KAY WIENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
26 LONG HILL RD, GUILFORD, CT 06437-1870
(203) 453-1781
Mailing address
36 FERNWOOD DR, GUILFORD, CT 06437-2349
(203) 376-9167
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
001393
CT
103T00000X
Psychologist
PS007751L
PA
Other
Enumeration date
05/16/2008
Last updated
11/24/2008
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