Individual
DR. ROBERT JOHN WIEMAN
Active
Individual
DR. ROBERT JOHN WIEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS002267L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0023671000
PERSONAL CHOICE
PA
01
—
1783949
BLUE SHIELD
PA
Enumeration date
01/23/2007
Last updated
04/17/2013
Update your record
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