Individual
DR. GARY B WIEDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2101 4TH AVE, STE 1380, SEATTLE, WA 98121-2336
(206) 443-0900
Mailing address
2101 4TH AVE, STE 1380, SEATTLE, WA 98121-2336
(206) 443-0900
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
891
WA
Other
Enumeration date
07/14/2006
Last updated
05/20/2016
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