DR. Marcie C Wiseman, PHD

NPI #1225366172 in Valdosta, Georgia

Provider Information

NPI Number: 1225366172
Entity Type: Individual
Name: DR. Marcie C Wiseman, PHD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Credential: PHD
Enumeration Date: Dec 3, 2009
Last Updated: Nov 8, 2012

Practice Location

Address: 2704 N OAK ST
Address 2: BUILDING B-3
City: Valdosta
State: Georgia
ZIP Code: 31602-1744
Phone: (229) 257-0100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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