Dudley Jay Wiest, PHD | |
1110 E Chapman Ave Ste 202, Orange, CA 92866-2139 | |
(714) 744-9754 | |
Not Available |
Full Name | Dudley Jay Wiest |
---|---|
Gender | Male |
Speciality | Psychologist - Clinical |
Location | 1110 E Chapman Ave Ste 202, Orange, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114658366 | NPI | - | NPPES |
14883 | Other | CA | LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 14883 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dudley Jay Wiest, PHD 3345 E Copper Kettle Way, Orange, CA 92867-2057 Ph: (714) 273-9591 | Dudley Jay Wiest, PHD 1110 E Chapman Ave Ste 202, Orange, CA 92866-2139 Ph: (714) 744-9754 |
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