Wieckowski, Bridget Mary

Wieckowski, Bridget Mary is an individual health care provider with primary practice located at 1101 S Winchester Blvd Ste J205 , San Jose CA 95128-3918. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Wieckowski, Bridget Mary can be contacted via phone (408) 680-4114.

Contact Information

Primary practice address
1101 S Winchester Blvd Ste J205 San Jose CA 95128-3918
Phone: (408) 680-4114
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY31996 California

Profile Details

NPI number 1366818577
LBN Legal business name Wieckowski, Bridget Mary
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2015
Last updated Oct 13th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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