Individual
ALAN RICHARD WIESENFELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3 BEACON HILL RD, ATLANTIC HIGHLANDS, NJ 07716-2006
(732) 291-0261
(732) 291-4216
Mailing address
3 BEACON HILL RD, ATLANTIC HIGHLANDS, NJ 07716-2006
(732) 291-0261
(732) 291-4216
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1562
NJ
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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