MR. DONALD R. WELLER


Address: 1714 E Circle Dr, Bloomington, IN 47401-6028
Phone: 8123255805

MR. DONALD R. WELLER (NPI# 1376747048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376747048
Entity Type Individual
Full Name MR. DONALD R. WELLER
Credential PH.D.
Practice Address 1714 E Circle Dr
Bloomington
IN 47401-6028
Practice Telephone 8123255805
Mailing Telephone 8123255805
Enumeration Date 2007-06-14
Last Update Date 2020-02-03
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TS0200X Psychologist
Specialization: School
Behavioral Health & Social Service Providers

Other Providers DONALD WELLER

NPI Name Taxonomy Address Enumeration
1861490740 Donald A Weller Internal Medicine 991 Medical Park Dr, Maysville, KY 41056-8764 2005-07-13

Office Location

Street Address 1714 E CIRCLE DR
City BLOOMINGTON
State IN
Zip Code 47401-6028

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Taxonomy Information

Taxonomy Code 103TS0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization School

Taxonomy Definition

Definition to come...

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1609023902 Rose Anne Jackson Psychologist 631 N College Ave, Bloomington, IN 47404-3871 2008-08-19

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1932700523 Julia Ann Edwards Psychologist 401 W Joliet St, Crown Point, IN 46307-3808 2020-11-02
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Competitor

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City BLOOMINGTON
Zip Code 47401

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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