Individual
MRS. CARRIE WELLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
177 E 87TH ST STE 201A, NEW YORK, NY 10128-2226
(917) 359-1829
Mailing address
30 QUENTIN RD, SCARSDALE, NY 10583-4519
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
011249
NY
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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