Dudley Jay Wiest, PhD
Psychologist, Clinical in Orange, CA. Individual provider (NPI-1).
NPI number1114658366
StatusActive
Last updated in NPPESJun 20, 2022
Details
- NPI
- 1114658366
- Entity type
- Individual (NPI-1)
- Name
- Dudley Jay Wiest
- Credential
- PhD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 20, 2022
- Certification date
- Jun 20, 2022
- Last updated
- Jun 20, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 14883 | CA | Yes |
Practice location
1110 E Chapman Ave Ste 202Orange, CA 92866-2139
Phone 714-744-9754
Mailing address
3345 E Copper Kettle WayOrange, CA 92867-2057
Phone 714-273-9591
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