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Individual

DR. TIMOTHY W. WELLES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ED.D.

Contact information

Practice address
20 COMMUNITY PL STE 4, MORRISTOWN, NJ 07960-7501
(973) 993-8885
(914) 937-6174
Mailing address
112 BETSY BROWN RD, PORT CHESTER, NY 10573-2231
(914) 939-8247
(914) 937-6174

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
002657
CT
103TC1900X
Counseling Psychologist
016488
NY
103TC1900X
Counseling Psychologist
Primary
01694
NJ

Other

Enumeration date
11/03/2006
Last updated
12/04/2009
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