Viera Psychological Services PA

NPI #1306928973 in Indialantic, Florida

Provider Information

NPI Number: 1306928973
Entity Type: Organization
Organization Name: Viera Psychological Services PA
Primary Specialty: Psychologist - Clinical
Enumeration Date: Oct 20, 2006
Last Updated: Mar 23, 2010

Practice Location

Address: 345 6TH AVE
City: Indialantic
State: Florida
ZIP Code: 32903-4301
Phone: (321) 951-2100

Authorized Official

Name: DR. JASON WIESELER, PSY.D.
Title: OWNER
Phone: (321) 704-1135

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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