| Doctor Name: | MS. MICHELLE-LISA WELLER VOEGTLE |
| NPI Number: | 1104025378 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.P.C. |
| License Number: | 001591 |
| Business Practice Address: | 2 Westridge Drive Simsbury, CT - 06070 |
| Business Phone Number: | 8603091013 |
| Business Fax Number: | |
| Mailing Address: | 2 Westridge Drive, SIMSBURY |
| State: | CT |
| Postal Code: | 06070 |
| Phone Number: | 8603091013 |
| Fax Number: | |
| NPI Enumeration Date: | 07/17/2007 |
| NPI Last Update Date: | 08/30/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 001591 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |