Healthcare Provider Details

I. General information

NPI: 1619872942
Provider Name (Legal Business Name): WEDDINGTON & ASSOCIATES CLINICAL PSYCHOLOGIST INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 KAREN DR
NAPA CA
94558-4120
US

IV. Provider business mailing address

108 KAREN DR
NAPA CA
94558-4120
US

V. Phone/Fax

Practice location:
  • Phone: 707-224-5332
  • Fax:
Mailing address:
  • Phone: 707-224-5332
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. WILLIE GEORGE WEDDINGTON
Title or Position: CEO
Credential: ED. D.
Phone: 707-224-5332