Vienna Psychological Group, Inc.
NPI #1740653963 in San Dimas, California
Provider Information
- NPI Number
- 1740653963
- Entity Type
- Organization
- Organization Name
- Vienna Psychological Group, Inc.
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- Nov 10, 2015
- Last Updated
- Feb 28, 2017
Practice Location
- Address
- 464 E BONITA AVE
- Address 2
- SUITE 11
- City
- San Dimas
- State
- California
- ZIP Code
- 91773-3144
- Phone
- (626) 709-3494
Authorized Official
- Name
- DR. NICOLE MARIE VIENNA, PSYD
- Title
- VICE PRESIDENT & CLINICAL DIRECTOR
- Phone
- (949) 290-3947
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Counselor - Mental Health — Mental Health |
| Psychologist - Family — Family |
| Psychologist - Forensic — Forensic |
| Psychologist - Group Psychotherapy — Group Psychotherapy |
| Social Worker - Clinical — Clinical |
| Marriage & Family Therapist |
| Psychologist - Clinical — Clinical |
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