NPI 1578901559

Paul Robert Wiese, PHD

Practitioner Psychologist Owosso, MI

Practice location

Address: 1116 N Chipman St, Owosso, MI 48867-4901
Phone: (906) 362-7726
Fax: (989) 472-4110

Registered specialties (3)

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 6301008035 (MI)

Other Psychologist providers in Michigan →

Psychologist

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 673 (WV)

Behavior Analyst

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence FL EXEMPT 490.014 (FL)

Other Behavior Analyst providers in Michigan →

Registry record

NPI: 1578901559
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Jun 2013
Record last updated: 31 Jan 2014

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.