Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | PSY28317 | CA |
Y | 103T00000X | Psychologist | PSY28317 | CA |
N | 225C00000X | Rehabilitation Counselor |
NPI | 1275967275 |
---|---|
Provider Name | Dr. Wendy Diane Meier |
First Address | Nipomo, CA 93444-9131 |
Second Address | Nipomo, CA 93444-9131 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/08/2013 |
Last Update Date | 20/02/2017 |