Individual
DANIEL J. WIENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
836 FARMINGTON AVE, SUITE 217 B, WEST HARTFORD, CT 06119-1505
(860) 490-3337
Mailing address
81 LONG PLAIN RD, LEVERETT, MA 01054-9523
(413) 548-9283
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
001293
CT
103T00000X
Psychologist
005193-1
NY
103T00000X
Psychologist
8086
MA
106H00000X
Marriage & Family Therapist
000281
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060001293CT01
ANTHEM BCBS
CT
Enumeration date
07/20/2006
Last updated
01/04/2011
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