Wiederstein, Michael

Wiederstein, Michael is an sole proprietor health care provider with primary practice located at 9120 Trumbauer Way , Elk Grove CA 95758. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Wiederstein, Michael can be contacted via phone (916) 662-5893.

Contact Information

Primary practice address
9120 Trumbauer Way Elk Grove CA 95758
Phone: (916) 662-5893
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY 11582 California

Profile Details

NPI number 1609918838
LBN Legal business name Wiederstein, Michael
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2007
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Popular Providers