| Doctor Name: | DR. MARY RITA WELLER |
| NPI Number: | 1326114836 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | EDD LSW |
| License Number: | SW009517L |
| Business Practice Address: | 122 W Lancaster Ave Suite 01 Shillington, PA - 196071881 |
| Business Phone Number: | 6107751878 |
| Business Fax Number: | 6107771295 |
| Mailing Address: | 93 Preston Rd, WERNERSVILLE |
| State: | PA |
| Postal Code: | 19565 |
| Phone Number: | 6106787186 |
| Fax Number: | |
| NPI Enumeration Date: | 11/27/2006 |
| NPI Last Update Date: | 08/18/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | SW009517L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |