Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Bridget Mary Wieckowski, PSYD

Individual provider Counselor · NPI 1366818577

Dr. Bridget Mary Wieckowski, PSYD is a Counselor in San Jose, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2015
Specialties on file
3
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

1101 S Winchester Blvd Ste J205
San Jose, CA 95128-3918
Phone: (408) 680-4114
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2275 Arlington Dr, San Leandro, CA 94578-1132 — (510) 317-1444

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PSY31996 (CA)
Counselor Taxonomy 101Y00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1366818577
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorNo
NPI enumeratedAugust 11, 2015
Last updated in NPPESOctober 13, 2020
Certification dateOctober 13, 2020

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