Individual provider · Type 1 NPI
Michael Wiederstein, PhD
Psychologist · Elk Grove, CA
Practice location
9120 Trumbauer Way
Elk Grove, CA 95758
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist Primary | 103T00000X | PSY 11582 (CA) |
Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…
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About NPI 1609918838
Michael Wiederstein, PhD's National Provider Identifier is 1609918838, issued on Feb 13, 2007. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Elk Grove, CA. The record was last updated on Jul 8, 2007.