Individual
DR. JONATHAN NEIL WELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2500 S POWER RD STE 107, MESA, AZ 85209-6687
(480) 544-1911
(480) 758-4986
Mailing address
4614 E REINS RD, GILBERT, AZ 85297-9514
(480) 544-1911
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3715
AZ
Other
Enumeration date
11/22/2005
Last updated
12/06/2016
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