DR. Amanda Marie Divita Wiemken, PSY.D.

NPI #1043825151 in Annapolis, Maryland

Provider Information

NPI Number: 1043825151
Entity Type: Individual
Name: DR. Amanda Marie Divita Wiemken, PSY.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: PSY.D.
Enumeration Date: Sep 15, 2020
Last Updated: Feb 21, 2022

Practice Location

Address: 2431 SOLOMONS ISLAND RD STE 200
City: Annapolis
State: Maryland
ZIP Code: 21401-3730
Phone: (410) 757-2077

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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