Doctor Name: | BARBARA J WIEDMANN |
NPI Number: | 1548694037 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPCC-S |
License Number: | 0001977 |
Business Practice Address: | 1 Victoria Pl Suite 105 Painesville, OH - 440773466 |
Business Phone Number: | 4403528954 |
Business Fax Number: | 4403520351 |
Mailing Address: | 1 Victoria Pl, Suite 105 PAINESVILLE |
State: | OH |
Postal Code: | 440773466 |
Phone Number: | 4403528954 |
Fax Number: | 4403520351 |
NPI Enumeration Date: | 09/03/2013 |
NPI Last Update Date: | 09/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 0001977 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |