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Individual

DR. DANIELLA LYDIA WIEGAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
977 LAKEVIEW PKWY, SUITE 180, VERNON HILLS, IL 60061-1400
(847) 549-6650
(847) 549-8006
Mailing address
977 LAKEVIEW PARKWAY, SUITE 180, VERNON HILLS, IL 60061
(847) 549-6650
(847) 549-8006

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071006380
IL

Other

Enumeration date
10/31/2006
Last updated
07/08/2007
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