David Wise, PH.D.

NPI #1265669212 in Sebastopol, California

Provider Information

NPI Number: 1265669212
Entity Type: Individual
Name: David Wise, PH.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: PH.D.
Enumeration Date: Jun 17, 2009
Last Updated: Jun 17, 2009

Practice Location

Address: 12470 FIORI LANE
City: Sebastopol
State: California
ZIP Code: 95472
Phone: (707) 874-2225

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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