Individual
DR. MARLENE L. WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
7 CLAYTON AVE, CORTLAND, NY 13045-2501
(607) 758-6110
(607) 758-6116
Mailing address
PO BOX 966, CORTLAND, NY 13045-0966
(203) 206-1029
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
003108
NY
103TC0700X
Clinical Psychologist
Primary
017331
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RA4075
—
NY
Enumeration date
08/25/2006
Last updated
01/10/2008
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