Wieder, David

Wieder, David is an individual health care provider with primary practice located at 1764 W Aspen Lane , Loa UT 84747. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Wieder, David can be contacted via phone (505) 231-5031.

Contact Information

Primary practice address
1764 W Aspen Lane Loa UT 84747
Phone: (505) 231-5031
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 98506646009 Utah
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 9850664-6004 Utah

Profile Details

NPI number 1598143703
LBN Legal business name Wieder, David
Credentials CMHC
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2015
Last updated Jul 26th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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