Individual
KATHERINE RK WIEBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD, PHD, MDIV
Contact information
Practice address
650 SIERRA MADRE VILLA AVE STE 110, PASADENA, CA 91107-2040
(626) 351-9616
Mailing address
650 SIERRA MADRE VILLA AVE STE 110, PASADENA, CA 91107-2040
(626) 351-9616
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
04/23/2024
Last updated
04/23/2024
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