Individual
JESSE WEIDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.T., B.S.L., B.S.
Contact information
Practice address
243 LINDEN ST, READING, PA 19604-2931
(610) 223-8553
Mailing address
243 LINDEN ST, READING, PA 19604-2931
(610) 223-8553
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
BH002928
PA
Other
Enumeration date
12/01/2015
Last updated
12/01/2015
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