Wieseler, Jason C

Wieseler, Jason C is an individual health care provider with primary practice located at 400 E Sheridan Rd , Melbourne FL 32901-3122. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Wieseler, Jason C can be contacted via phone (321) 722-5200.

Contact Information

Primary practice address
400 E Sheridan Rd Melbourne FL 32901-3122
Phone: (321) 722-5200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X PY7276 Florida

Profile Details

NPI number 1528095544
LBN Legal business name Wieseler, Jason C
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated Sep 13th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528095544 NPPES
Florida MEDICAID 076722100

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