Constance Wieler, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41YS00191000 Issued in NJ

Practice address

115 Saint Clair CT
Princeton, NJ 08540-7345

Phone

(609) 688-0200

Fax

(609) 688-0200

NPI assigned

Jan 29, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1611878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1144811449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 SAINT CLAIR CT",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085407345",
            "telephone_number": "609-688-0200",
            "fax_number": "609-688-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 SAINT CLAIR CT",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085407345",
            "telephone_number": "609-688-0200",
            "fax_number": "609-688-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIELER",
        "first_name": "CONSTANCE",
        "name_prefix": "Ms.",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-29",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00191000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "speechlanguagecw@aol.com",
            "affiliation": "N",
            "address_1": "115 Saint Clair Ct",
            "city": "Princeton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "085407345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Wellbl Portfolio 1 Opco LLC
• Lara F Wellerstein, LSW
• White Coat Providers LLC
• Cecilia Amarantha White, DMD
• Laura Wieber, ARNP
• Frederick Charles Wightman III, D.D.S.
• Laura M Wild, CRNA
• Sierra Ellen Wilhelm
• Katherine J Wilkinson
• William J. Tullo, OD, LLC

• Speech-Language Pathologist in Princeton, NJ
• Providers in Princeton, NJ by specialty
• Speech-Language Pathologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.