| Doctor Name: | AMY D.S. WIECH |
| NPI Number: | 1245426865 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | BCBA |
| License Number: | 104-1581 |
| Business Practice Address: | 68-434 Kamehameha Hwy Haleiwa, HI - 96712 |
| Business Phone Number: | 8082777736 |
| Business Fax Number: | |
| Mailing Address: | Po Box 1162, WAIALUA |
| State: | HI |
| Postal Code: | 967911162 |
| Phone Number: | 8082777736 |
| Fax Number: | |
| NPI Enumeration Date: | 09/18/2007 |
| NPI Last Update Date: | 01/14/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TB0200X |
| License Number: | 104-1581 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Cognitive & Behavioral |
| Taxonomy Definition: | |