DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: JESSICA FERN WELLER MFT

MEDICARE: JESSICA FERN WELLER MFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1134747660
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA FERN WELLER MFT
Provider Business Mailing Address
First Line : 48 SULLIVAN DR
Second Line :
City : JERICHO
State : NY
Zip : 11753-1940
Country : US
Telephone Number : 516-880-4211
Fax Number :
Provider Business Practice Location Address
First Line : 535 S OYSTER BAY RD
Second Line :
City : PLAINVIEW
State : NY
Zip : 11803-3310
Country : US
Telephone Number : 516-818-8383
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2020
Last Update Date : 12/09/2022

Similar Medicare Providers

1982550695 — DR. ANNA CHRISTINA MOY PSY.D.
Practice Location Address:
535 S OYSTER BAY RD
PLAINVIEW, NY
11803-3310
Practice Phone: 516-888-4357
Practice Fax:
1629175039 — DR. FRED L HOLTZ PH.D.
Practice Location Address:
535 S OYSTER BAY RD
PLAINVIEW, NY
11803-3310
Practice Phone: 516-888-4357
Practice Fax: 516-513-1456
1194031674 — DR. MELISSA PEARL KINER PSY.D.
Practice Location Address:
535 S OYSTER BAY RD
PLAINVIEW, NY
11803-3310
Practice Phone: 516-888-4357
Practice Fax:
1972099232 — ROBERT MICHAEL O'CONNOR LCSW
Practice Location Address:
535 S OYSTER BAY RD
PLAINVIEW, NY
11803-3310
Practice Phone: 516-888-4357
Practice Fax:
1205572088 — MR. IAN R NEVILLE MHC-LP
Practice Location Address:
535 S OYSTER BAY RD
PLAINVIEW, NY
11803-3310
Practice Phone: 516-818-8383
Practice Fax:
1659092245 — JULISSA GARCIA PHD, DR
Practice Location Address:
535 S OYSTER BAY RD
PLAINVIEW, NY
11803-3310
Practice Phone: 516-888-4357
Practice Fax:

Directions to “ JESSICA FERN WELLER MFT” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.