Individual
DR. MICHAEL WYDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D., ABPP
Contact information
Practice address
5092 FLAMINGO CIR, HUNTINGTON BEACH, CA 92649-1408
(919) 521-1835
Mailing address
5092 FLAMINGO CIR, HUNTINGTON BEACH, CA 92649-1408
(919) 521-1835
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
20171
CA
Other
Enumeration date
03/15/2016
Last updated
03/15/2016
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