Individual
MRS. BONNIE WIEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CAS
Contact information
Practice address
13 LOCUST ST, GLENS FALLS, NY 12801-4544
(518) 761-2025
(518) 761-2035
Mailing address
13 LOCUST ST, GLENS FALLS, NY 12801-4544
(518) 761-2025
(518) 761-2035
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
11/19/2015
Last updated
11/19/2015
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