National Provider Identifier
Eric Gerard Wiedemann, PSYD
Eric Gerard Wiedemann, PSYD is listed in the NPPES registry with a primary specialty of Clinical Psychologist in Lockport, NY and a listed phone number of (716) 625-9550.
Profile Overview
- NPI
- 1881791481
- Provider Type
- Individual
- Primary Specialty
- Clinical Psychologist
- Enumeration Date
- September 19, 2006
- Last Updated
- July 08, 2007
Practice Location
- 20 Market Street
- Suite 230
- Lockport, NY 14094
Phone: (716) 625-9550
Specialties
- Clinical Psychologist (103TC0700X)
Full Record
- NPI
- 1881791481
- Entity Type
- Individual
- Last Name
- Wiedemann
- First Name
- Eric
- Middle Name
- Gerard
- Credential
- PSYD
- Mailing Street Address
- 20 Market Street
- Mailing Address Line 2
- Suite 230
- Mailing City
- Lockport
- Mailing State
- NY
- Mailing ZIP Code
- 14094
- Mailing Country
- US
- Mailing Phone
- (716) 625-9550
- Mailing Fax
- (716) 433-7846
- Practice Street Address
- 20 Market Street
- Practice Address Line 2
- Suite 230
- Practice City
- Lockport
- Practice State
- NY
- Practice ZIP Code
- 14094
- Practice Country
- US
- Practice Phone
- (716) 625-9550
- Practice Fax
- (716) 433-7846
- Enumeration Date
- September 19, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Psychologist (103TC0700X)