Individual
DR. ANDRE WIELEMAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(615) 674-6933
Mailing address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(615) 674-6933
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
14149490-2501
UT
103T00000X
Psychologist
3930
TN
103T00000X
Psychologist
Primary
PY1244
NV
Other
Enumeration date
10/27/2022
Last updated
03/10/2026
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