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NPI Code Detail

MEDICARE: DR. DEBORAH LYNN WIELAND PSYD, LMFT

MEDICARE:  DR. DEBORAH LYNN WIELAND  PSYD, LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family TherapistLMFT96864CA

General Provider Information

NPI Number : 1245776681
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DEBORAH LYNN WIELAND PSYD, LMFT
Provider Business Mailing Address
First Line : 214 PIGEON LN
Second Line :
City : FOUNTAIN VALLEY
State : CA
Zip : 92708-5726
Country : US
Telephone Number : 714-408-3702
Fax Number : 844-255-3511
Provider Business Practice Location Address
First Line : 10061 TALBERT AVE STE 200
Second Line :
City : FOUNTAIN VALLEY
State : CA
Zip : 92708-5123
Country : US
Telephone Number : 714-408-3702
Fax Number : 844-255-3511
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2017
Last Update Date : 08/11/2023

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Directions to “ DR. DEBORAH LYNN WIELAND PSYD, LMFT” Practice Location

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