Individual
RACHEL WELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD.
Contact information
Practice address
321 E 96TH ST, NEW YORK, NY 10128-3804
(818) 925-4450
Mailing address
411 W 114TH ST FL 2, NEW YORK, NY 10025-1710
(805) 405-5311
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
023273
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/15/2015
Last updated
09/08/2024
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