DR. Timothy C. Wiedel, PHD

NPI #1033208319 in Wauwatosa, Wisconsin

Provider Information

NPI Number: 1033208319
Entity Type: Individual
Name: DR. Timothy C. Wiedel, PHD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Clinical
Credential: PHD
Enumeration Date: Oct 12, 2006
Last Updated: Jan 20, 2012

Practice Location

Address: 7251 W NORTH AVE
Address 2: SUITE 5
City: Wauwatosa
State: Wisconsin
ZIP Code: 53213-1851
Phone: (414) 248-2554

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinical Neuropsychologist	103G00000X
Psychologist - Clinical — Clinical	103TC0700X	Primary
Psychologist - Intellectual & Developmental Disabilities — Intellectual & Developmental Disabilities	103TM1800X

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