Individual
EMILY WISNIEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
31625 HIGHWAY 101 S, SOLEDAD, CA 93960-9529
(831) 678-5500
Mailing address
PO BOX 45, ATASCADERO, CA 93423-0045
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY20817
CA
Other
Enumeration date
03/30/2008
Last updated
03/30/2008
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