Doctor Name: | MS. TRUDY ANN WELLER |
NPI Number: | 1093851404 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | PC000775 |
Business Practice Address: | 361 High St Pottstown, PA - 19464 |
Business Phone Number: | 6103269250 |
Business Fax Number: | 6103278726 |
Mailing Address: | 212 High St, Suite 103 POTTSTOWN |
State: | PA |
Postal Code: | 19464 |
Phone Number: | 4849410500 |
Fax Number: | 4849410515 |
NPI Enumeration Date: | 01/30/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | PC000775 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |