Doctor Name: | DR. GARY EDWARD WEHRWEIN |
NPI Number: | 1033313010 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DMIN |
License Number: | LPP 22 |
Business Practice Address: | 19 Federal Street Keene, NH - 03431 |
Business Phone Number: | 6033552244 |
Business Fax Number: | 6033552299 |
Mailing Address: | 19 Federal Street, KEENE |
State: | NH |
Postal Code: | 03431 |
Phone Number: | 6033552244 |
Fax Number: | 6033552299 |
NPI Enumeration Date: | 06/13/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP1600X |
License Number: | LPP 22 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Pastoral |
Taxonomy Definition: |