Individual
DR. JEAN M WIEDHOLZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
204 E HARFORD ST, MILFORD, PA 18337-1004
(570) 296-4029
Mailing address
204 E HARFORD ST, MILFORD, PA 18337-1004
(570) 296-4029
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS006076L
PA
Other
Enumeration date
02/18/2007
Last updated
07/08/2007
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