| Robert J Wieman Phd Pc | |
|
1407 Bethlehem Pike The Lodge Flourtown PA 19031-1904 | |
| (215) 836-7634 | |
| (215) 836-7634 |
| Full Name | Robert J Wieman Phd Pc |
|---|---|
| Speciality | Psychologist |
| Location | 1407 Bethlehem Pike, Flourtown, Pennsylvania |
| Authorized Official Name and Position | Robert John Wieman (PRESIDENT) |
| Authorized Official Contact | 2158367634 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert J Wieman Phd Pc 1407 Bethlehem Pike The Lodge Flourtown PA 19031-1904 Ph: (215) 836-7634 | Robert J Wieman Phd Pc 1407 Bethlehem Pike The Lodge Flourtown PA 19031-1904 Ph: (215) 836-7634 |
| NPI Number | 1457351207 |
|---|---|
| Provider Enumeration Date | 07/22/2005 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 8022108448 |
|---|---|
| Medicare Enrollment ID | O20071221000094 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457351207 | NPI | - | NPPES |
| 029378 | Other | BLUECROSS BLUESHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (Pennsylvania) | Primary |
| Provider Name | Robert J Wieman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659426690 PECOS PAC ID: 8325138746 Enrollment ID: I20071221000076 |
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