Individual
DR. AMY WISEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
8170 BEVERLY BLVD STE 106, LOS ANGELES, CA 90048-4533
(310) 750-4490
Mailing address
1609 101ST ST S, TACOMA, WA 98444-2819
(512) 820-7193
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY30036
CA
Other
Enumeration date
02/15/2017
Last updated
07/15/2024
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