Individual
DR. CHERI DIANNE WHEELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2670 S WHITE RD, SUITE 245, SAN JOSE, CA 95148-2071
(408) 833-5739
(408) 528-8939
Mailing address
2670 S WHITE RD, SUITE 245, SAN JOSE, CA 95148-2071
(408) 833-5739
(408) 528-8924
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
21392
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OPL213920
BLUE SHIELD OF CALIFORNIA
CA
05
—
PSY213920
—
CA
Enumeration date
04/10/2007
Last updated
03/24/2008
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