| Doctor Name: | DR. MARY M. WELLMAN |
| NPI Number: | 1235262882 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | 3090 |
| Business Practice Address: | 216 W Hartford Ave Uxbridge, MA - 015691174 |
| Business Phone Number: | 5082786600 |
| Business Fax Number: | 5082786611 |
| Mailing Address: | 216 W Hartford Ave, UXBRIDGE |
| State: | MA |
| Postal Code: | 015691174 |
| Phone Number: | 5082786600 |
| Fax Number: | 5082786611 |
| NPI Enumeration Date: | 03/13/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TB0200X |
| License Number: | 3090 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Cognitive & Behavioral |
| Taxonomy Definition: | |