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General NPI Number Information
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NPI Number | 1144352592
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Entity Type | Individual
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Provider Name | WENDY SUSAN WEISS PHD
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Gender | Female
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1007 7TH ST SUITE 313
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City | SACRAMENTO
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State | CA
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Zip | 95814-3410
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Country | US
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Telephone | 916-554-0848
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Fax |
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Provider Business Mailing Address
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Address Line | 7485 RUSH RIVER DR SUITE 710-114
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City | SACRAMENTO
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State | CA
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Zip | 95831-5259
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Country | US
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Telephone | 916-554-0848
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 15144
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103TF0200X
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Taxonomy Name | Forensic Psychologist
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License Number | 15144
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License Number State | CA
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