Individual
AMY WOERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
901 CAMPISI WAY STE 245, CAMPBELL, CA 95008-2348
(442) 777-3052
Mailing address
901 CAMPISI WAY STE 245, CAMPBELL, CA 95008-2348
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/09/2016
Last updated
09/13/2024
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