Individual
BRIAN JOSEPH WILEHLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNIM
Contact information
Practice address
2855 JULIAS WAY NW, MARIETTA, GA 30064-6219
(770) 218-0776
(770) 795-1408
Mailing address
2855 JULIAS WAY NW, MARIETTA, GA 30064-6219
(770) 218-0776
(770) 795-1408
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
4348
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4348
ABRET
GA
Enumeration date
05/23/2019
Last updated
02/04/2020
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