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Individual

ANDREW DAVID WIESE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
DEPARTMENT OF PSYCHIATRY AND BEHAVIORAL SCIENCES, 1977 BUTLER BLVD, HOUSTON, TX 77030-4101
(713) 798-3080
Mailing address
DEPARTMENT OF PSYCHIATRY AND BEHAVIORAL SCIENCES, 1977 BUTLER BLVD, HOUSTON, TX 77030-4101
(713) 798-3080

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
39372
TX
103TC0700X
Clinical Psychologist
39372
TX

Other

Enumeration date
12/27/2022
Last updated
02/21/2023
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