Dr. Michael Wydo
Cognitive & Behavioral Psychologist
5092 Flamingo Cir
Huntington Beach
, California 92649-1408
Dr. Michael Wydo
Cognitive & Behavioral Psychologist
5092 Flamingo Cir
Huntington Beach
, California 92649-1408
(919) 521-1835
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About
Features
Specialties
- Cognitive & Behavioral Psychologist
Languages spoken
- English
Location
First Address
- Dr. Michael Wydo
- 5092 Flamingo Cir
- Huntington Beach, CA
- Zip : 92649-1408
- Phone : (919) 521-1835
Second Address
- Dr. Michael Wydo
- 5092 Flamingo Cir
- Huntington Beach, CA
- Zip : 92649-1408
- Phone : (919) 521-1835
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TB0200X | Cognitive & Behavioral Psychologist | 20171 | CA |
National Provider Identifier
| NPI | 1104287325 |
|---|---|
| Provider Name | Dr. Michael Wydo |
| First Address | Huntington Beach, CA 92649-1408 |
| Second Address | Huntington Beach, CA 92649-1408 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/03/2016 |
| Last Update Date | 15/03/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.