Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. BRENDA KAY WIEDERHOLD, PH.D.

Active Sole Proprietor

DR. BRENDA KAY WIEDERHOLD, PH.D. is a Clinical Psychologist healthcare provider located in LA JOLLA, California. NPI 1134745474 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · LA JOLLA, CA

Registration Details

NPI Number: 1134745474
Provider Type: Individual
Gender: Female
NPI Issued: Jun 23, 2020 (6.1673781231944 yrs)
Last Updated: Jun 23, 2020
License: PSY16840 (CA)
Sole Proprietor: Yes

Practice Information

Address: VIRTUAL REALITY MEDICAL CENTER

9834 GENESEE AVENUE, SUITE 427

LA JOLLA, CA, 92037
Browse CA providers · Browse ZIP 92037
Phone: 8586420267
Primary Specialty: Clinical Psychologist
103TC0700X

Other Clinical Psychologist Providers in LA JOLLA, CA

Name	Credential	NPI
DR. STEVEN DALE SOLOMON	PH.D.	1386636777
DR. JEAN CAMPBELL	PH.D.	1548250301
DR. MARK SCHINDLER	PH.D.	1689664278
MRS. NOREEN MARIE MARSLAND	PSYD, MPA, MSW	1225029309
DR. LISA BRAUN	PH.D.	1104805357
DR. KRISTEN ANNE COLE	PH.D.	1174583009

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.