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1134745474
BRENDA KAY WIEDERHOLD
LA JOLLA, CA
NPI
1134745474
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY16840)
Enumeration Date
2020-06-23
Last Update Date
2020-06-23
Business Address
Dr. BRENDA KAY WIEDERHOLD Ph.D.
VIRTUAL REALITY MEDICAL CENTER 9834 GENESEE AVENUE, SUITE 427
LA JOLLA, CA 92037
Phone number: 858-642-0267
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Mailing Address
Dr. BRENDA KAY WIEDERHOLD Ph.D.
VIRTUAL REALITY MEDICAL CENTER 6540 LUSK BOULEVARD, SUITE C252
SAN DIEGO, CA 92121
Phone number: 858-642-0267
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