LADONNA WIEDENMAN BS
Individual Provider (NPI-1)
Active
Psychiatry & Neurology, Child & Adolescent Psychiatry
Provider Information
- NPI Number
1346067055- Provider Type
- Individual Provider (NPI-1)
- Credentials
- BS
- Status
- Active
Contact & Location
- Address
- 915 PARKCENTRE WAY STE 7, NAMPA, ID, 836511748
- Phone
- (208) 442-7791
- Fax
- (208) 442-7792
Specialties & Taxonomies
Psychiatry & Neurology, Child & Adolescent Psychiatry
Primary License: ID #1477685550