Individual
SERENA WIEDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1315 WOODSIDE PKWY, SILVER SPRING, MD 20910-1552
(301) 588-9121
Mailing address
1315 WOODSIDE PKWY, SILVER SPRING, MD 20910-1552
(301) 588-9121
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1308
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
NONE OF THE ABOVE
—
Enumeration date
07/24/2012
Last updated
07/24/2012
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