Individual
DR. ALICE ELEANOR WIENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
412 E 1ST ST, ROME, GA 30161-3104
(706) 235-6990
(706) 235-4985
Mailing address
412 E 1ST ST, ROME, GA 30161-3104
(706) 235-6990
(706) 235-4985
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY002326
GA
Other
Enumeration date
11/08/2006
Last updated
07/09/2007
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