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Individual

DR. JANICE K. WIEMEYER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
109 NORTH BEACH ROAD, SUITE 6, EASTSOUND, WA 98245-1587
(360) 376-4346
Mailing address
PO BOX 1587, EASTSOUND, WA 98245-1587
(360) 376-4346

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
107649-2501
UT
103TC0700X
Clinical Psychologist
Primary
PY2221
WA

Other

Enumeration date
03/09/2007
Last updated
07/08/2007
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