Eric Gerard Wiedemann, PSYD

NPI #1881791481 in Lockport, New York

Provider Information

NPI Number: 1881791481
Entity Type: Individual
Name: Eric Gerard Wiedemann, PSYD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Clinical
Credential: PSYD
Enumeration Date: Sep 19, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 20 MARKET STREET
Address 2: SUITE 230
City: Lockport
State: New York
ZIP Code: 14094
Phone: (716) 625-9550

Specialties & Taxonomy Codes

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

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