Wieland, Gordon D.

Wieland, Gordon D. is an sole proprietor health care provider with primary practice located at 3102 Plover Rd , Louisville KY 40213-1229. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Wieland, Gordon D. can be contacted via phone (502) 403-6054.

Contact Information

Primary practice address
3102 Plover Rd Louisville KY 40213-1229
Phone: (502) 403-6054
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 166 Oklahoma
Behavioral Health & Social Service Providers / Professional 101YP2500X 3491 Oklahoma
Behavioral Health & Social Service Providers / Professional 101YP2500X 102155 Kentucky

Profile Details

NPI number 1043340748
LBN Legal business name Wieland, Gordon D.
Credentials MA, LPCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 6th, 2007
Last updated Jan 8th, 2019 - about 6 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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