Individual
JOEL WIESEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
62 CANDLEWOOD RD, SCARSDALE, NY 10583-6040
(617) 255-8859
Mailing address
62 CANDLEWOOD RD, SCARSDALE, NY 10583-6040
(617) 255-8859
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2066
MA
Other
Enumeration date
05/13/2018
Last updated
06/16/2018
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