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Individual

JOHN WOHLERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
892 E BRIGHTON AVE, SYRACUSE, NY 13205-2542
(315) 400-5242
Mailing address
892 E BRIGHTON AVE, SYRACUSE, NY 13205-2542
(315) 400-5242

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
005196
NY
103TC0700X
Clinical Psychologist
Primary
005196-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00646213
NY
Enumeration date
10/25/2006
Last updated
01/16/2024
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