| Doctor Name: | DR. JANICE K. WIEMEYER |
| NPI Number: | 1891827739 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | 107649-2501 |
| Business Practice Address: | 109 North Beach Road Suite 6 Eastsound, WA - 982451587 |
| Business Phone Number: | 3603764346 |
| Business Fax Number: | |
| Mailing Address: | Po Box 1587, EASTSOUND |
| State: | WA |
| Postal Code: | 982451587 |
| Phone Number: | 3603764346 |
| Fax Number: | |
| NPI Enumeration Date: | 03/09/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 107649-2501 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | UT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |