Healthcare Provider Details

I. General information

NPI: 1093671257
Provider Name (Legal Business Name): EMILY V H WIEBER LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/31/2025
Last Update Date: 12/31/2025
Certification Date: 12/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 9865
GLENDALE CA
91226-0865
US

IV. Provider business mailing address

PO BOX 9865
GLENDALE CA
91226-0865
US

V. Phone/Fax

Practice location:
  • Phone: 323-362-6273
  • Fax:
Mailing address:
  • Phone: 323-362-6273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number160765
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: