Weller, Louise Anne
Weller, Louise Anne is an sole proprietor health care provider with primary practice located at 340 N Main St Ste 200 , Plymouth MI 48170-1250. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Weller, Louise Anne can be contacted via phone (734) 335-0028.Contact Information
Primary practice address
340 N Main St Ste 200
Plymouth MI 48170-1250
Phone: (734) 335-0028
Fax: (734) 335-3931
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 016136-1 | New York |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 6301016196 | Michigan |
Profile Details
| NPI number | 1396786349 |
|---|---|
| LBN Legal business name | Weller, Louise Anne |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 9th, 2006 |
| Last updated | Dec 6th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396786349 | NPPES |
| Michigan | Other | 6301016196 | LICENSE TO PRACTICE AS PSYCHOLOGIST |
| Michigan | Other | 016136 | LICENSE TO PRACTICE AS PSYCHOLOGIST |
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