SearchMichigan103TC1900X

Chad Wieber

NPI 1215472824 · on the registry since 2017

Practice

Address
5304 Alpine Ave Nw
Comstock Park, MI 49321
Phone
(616) 366-3780
Organisation at this address
Change Psychology Center
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
103TC1900X
103TC1900X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-01-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan