Individual
DR. DIANE L WETZIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4446
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0903802
—
OH
01
—
34174188300
BLUE
—
Enumeration date
03/31/2006
Last updated
12/10/2013
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