IndividualActive
Carolyn Wiersma
NPI 1780070805 · Child & Adolescent Psychiatry Physician · Chinle, AZ
Provider details
- NPI number
- 1780070805
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
- License
- MD463873 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
US Highway 191 & Hospital Road
Chinle, AZ 86503
Phone: (864) 884-7879
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box Ph
Chinle, AZ 86503-8000
Registry dates
- Enumerated
- 2015-04-15
- Last updated
- 2020-10-02
- Certified
- 2020-10-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.