Individual
DANIELLE WISCHENKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
155 E CAMPBELL AVE STE 219, CAMPBELL, CA 95008-2062
(650) 788-5955
Mailing address
PO BOX 59198, SAN JOSE, CA 95159-0198
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
31409
CA
103TC2200X
Clinical Child & Adolescent Psychologist
31409
CA
103TH0004X
Health Psychologist
Primary
31409
CA
Other
Enumeration date
12/16/2019
Last updated
12/16/2019
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