MARK G WIESNER

SAN DIEGO, CA
NPI1205072931
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: CA  5996)
Enumeration Date2008-12-30
Last Update Date2008-12-30
Business Address
Dr. MARK G WIESNER Ph.D.
5677 OBERLIN DR STE 106
SAN DIEGO, CA 92121-1741
Phone number: 858-457-8419
Mailing Address
Dr. MARK G WIESNER Ph.D.
5677 OBERLIN DR STE 106
SAN DIEGO, CA 92121-1741
Phone number: 858-457-8419