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Carolyn Powers Wiersma
Student in an Organized Health Care Education/Training Program in Chinle, Arizona
NPI 1780070805

Carolyn Powers Wiersma is a Student in an Organized Health Care Education/Training Program based in Chinle, AZ. Carolyn Powers Wiersma practices in Chinle, AZ. The NPI Number for Carolyn Powers Wiersma is 1780070805 and holds a License No. MD463873 (Arizona).

The current practice location address for Carolyn Powers Wiersma is Us Highway 191 & Hospital Road, Chinle, AZ and can be reached out via phone at 864-884-7879.

Location: Us Highway 191 & Hospital Road, Chinle, AZ, 86503-8000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780070805
Provider Name
Carolyn Powers Wiersma
Credential
Provider Entity Type
Individual
Gender
Female
Address
Us Highway 191 & Hospital Road, Chinle, AZ, 86503-8000
Phone Number
864-884-7879
Fax Number
Provider Enumeration Date
04/15/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
Us Highway 191 & Hospital Road
City
Chinle
State
Arizona
Zip
86503
Phone Number
864-884-7879
Fax Number
person
Provider Business Mailing Address Details
Address
Us Highway 191 & Hospital Road
City
Chinle
State
Arizona
Zip
86503
Phone Number
864-884-7879
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Child & Adolescent Psychiatry
Taxonomy
2084P0804X
License No.
()
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
MD463873 (Pennsylvania)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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