KENNETH MAXIM WIEDEMANN

TUSTIN, CA
NPI1467549964
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103T00000X Psychologist
(Licence: CA  17821)
Enumeration Date2006-10-06
Last Update Date2007-07-08
Business Address
Dr. KENNETH MAXIM WIEDEMANN Ph.D. Psychologist
14771 PLAZA DR STE L
TUSTIN, CA 92780-8012
Phone number: 714-731-1995
Mailing Address
Dr. KENNETH MAXIM WIEDEMANN Ph.D. Psychologist
14771 PLAZA DR STE L
TUSTIN, CA 92780-8012
Phone number: 714-731-1995
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