DR. ALICE R. WIEDENHOFF PHD NPI 1053524082

NPI Information

  • NPI: 1053524082
  • Provider Name: DR. ALICE R. WIEDENHOFF, PHD
  • Classification: Psychologist - 103TM1800X
  • Specialization: Intellectual and Developmental Disabilities
  • Entity Type: Individual
  • Address: NORTH COUNTY CHILD STUDY CENTER, 6949 EL CAMINO REAL
    STE. 201
    CARLSBAD, CA
    ZIP 92009
  • Phone: (769) 603-7770

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NPI Details

DR. Alice R. Wiedenhoff, PHD is an intellectual and developmental disabilities in Carlsbad, CA. DR. Alice R. Wiedenhoff, PHD NPI is 1053524082. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

NORTH COUNTY CHILD STUDY CENTER, 6949 EL CAMINO REAL
STE. 201
CARLSBAD, CA
ZIP 92009-140
Phone: (769) 603-7770
Fax: (760) 603-7753

The enumeration date for this NPI number is 5/7/2007 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TC2200XPsychologistClinical Child & Adolescent17454CALIFORNIANo
2103TM1800XPsychologistIntellectual and Developmental DisabilitiesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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