Individual provider · Type 1 NPI

Jennifer Dianne Wiens, PSY.D

Psychologist · Portland, OR

NPI number 1962879833 Active

Practice location

11035 NE Sandy Blvd
Portland, OR 97220-2553

Call (503) 258-4200 Map

Mailing address

1120 E Kennedy Blvd Unit 1019
Tampa, FL 33602-3587

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XPY10631 (FL)
Mental Health Counselor 101YM0800XNone listed

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 1962879833

Jennifer Dianne Wiens, PSY.D's National Provider Identifier is 1962879833, issued on Aug 27, 2015. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Portland, OR. The record was last updated on Jun 9, 2022.