Most Relevant Information
Provider Data
NPI Number: | 1003073149 |
Provider Name: | SANDRA KAY WIENS PHD |
Entity Type: | Individual |
Taxonomy Code: | 101YP2500X |
Specialty: | Counselor |
License Number: | 001393 |
Most Important Dates
Enumeration Date: | 05/16/2008 |
Last Updated: | 11/24/2008 |
Provider Practice Location
26 LONG HILL RD
GUILFORD
CT
064371870
Practice Location Phone/Fax
Phone: | 2034531781 |
Fax: |
Provider Mailing Location
36 FERNWOOD DR
GUILFORD
CT
064372349
Provider Mailing Phone/Fax
Phone: | 2033769167 |
Fax: |