Individual provider · Type 1 NPI

Carolyn Powers Wiersma

Child & Adolescent Psychiatry Physician · Chinle, AZ

NPI number 1780070805 Active

Practice location

US Highway 191 & Hospital Road
Chinle, AZ 86503

Mailing address

PO Box Ph
Chinle, AZ 86503-8000

Specialties and licenses

TaxonomyCodeLicense
Child & Adolescent Psychiatry Physician Primary 2084P0804XMD463873 (PA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Child & Adolescent Psychiatry Physician: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

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About NPI 1780070805

Carolyn Powers Wiersma's National Provider Identifier is 1780070805, issued on Apr 15, 2015. The primary taxonomy on file is Child & Adolescent Psychiatry Physician (2084P0804X), and the practice location is in Chinle, AZ. The record was last updated on Oct 2, 2020.