NPI 1033208319

Timothy C. Wiedel, PHD

Practitioner Clinical Psychologist Wauwatosa, WI

Practice location

Address: 7251 W North Ave Suite 5, Wauwatosa, WI 53213-1851
Phone: (414) 248-2554
Fax: (414) 302-4620

Registered specialties (3)

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 1227-057 (WI)

Other Psychologist providers in Wisconsin →

Clinical Neuropsychologist

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 1227-057 (WI)

Other Clinical Neuropsychologist providers in Wisconsin →

Intellectual & Developmental Disabilities Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TM1800X Licence 1227-057 (WI)

Registry record

NPI: 1033208319
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Oct 2006
Record last updated: 20 Jan 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.