| Dr Elizabeth Poulsen Wiegand, PHD | |
|
3609 Ocean Ranch Blvd Ste 208&209, Oceanside, CA 92056-2698 | |
| (858) 279-1223 | |
| (858) 467-7161 |
| Full Name | Dr Elizabeth Poulsen Wiegand |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical |
| Location | 3609 Ocean Ranch Blvd Ste 208&209, Oceanside, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992147680 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 29333 (California) | Primary |
| Entity Name | Pacific Coast Psychiatric Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023125465 PECOS PAC ID: 2567469174 Enrollment ID: O20061024000383 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Elizabeth Poulsen Wiegand, PHD 3609 Ocean Ranch Blvd Ste 208&209, Oceanside, CA 92056-2698 Ph: (858) 279-1223 | Dr Elizabeth Poulsen Wiegand, PHD 3609 Ocean Ranch Blvd Ste 208&209, Oceanside, CA 92056-2698 Ph: (858) 279-1223 |
Jason Amed Richardson, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1738 S Tremont St, Oceanside, CA 92054 Phone: 760-439-2800 | |
Maria J Herrera, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 200 Mercy Circle, Oceanside, CA 92055 Phone: 510-542-0859 | |
Victoria Marie Ralph, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1100 Sportfisher Dr, Oceanside, CA 92054 Phone: 858-376-0230 | |
Skye A Cerda, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1738 S Tremont St, Oceanside, CA 92054 Phone: 760-439-2800 | |
Molly Campbell, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 321 Cassidy St, Oceanside, CA 92054 Phone: 760-721-2171 | |
Dr. Dumont Gary Blankenship, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3142 Vista Way, 205, Oceanside, CA 92056 Phone: 760-758-1480 Fax: 760-435-9472 | |
Dr. Libby A Peachey, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 200 Mercy Circle, Oceanside, CA 92055 Phone: 760-725-4357 |