Individual
JASON WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1090 AMSTERDAM AVE, SUITE 16C, NEW YORK, NY 10025-1737
(212) 523-2965
(212) 636-1303
Mailing address
1090 AMSTERDAM AVE, SUITE 16C, NEW YORK, NY 10025-1737
(212) 523-2965
(212) 636-1303
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
016873
NY
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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