Roxane C Weddle, MA
Individual provider Active NPI Mental Health Counselor · W Springfield, MA
NPI 1871935239 · NPPES record last updated Jul 25, 2013
Key facts
- NPI
- 1871935239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 51 Capital Dr
W Springfield, MA 01089-1344 - Phone
- (413) 737-2679
- Fax
- (413) 306-6053
- NPI assigned
- Jul 25, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
51 Capital Dr
W Springfield, MA 01089-1344
Mailing address
51 Capital Dr
W Springfield, MA 01089-1344
Phone (413) 737-2679
Other providers in W Springfield, MA
- Fawad P Syed
- The Stop & Shop Supermarket Company, LLC
- Elizabeth Amy Therrien
- Kathleen L Varner
- Vascular Specialists PC
All providers in W Springfield, MA · Mental Health Counselor in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.