Mark Wielgus, PH.D.

NPI #1295045706 in Glen Cove, New York

Provider Information

NPI Number: 1295045706
Entity Type: Individual
Name: Mark Wielgus, PH.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Clinical
Credential: PH.D.
Enumeration Date: Oct 18, 2010
Last Updated: Oct 18, 2010

Practice Location

Address: 141 DOSORIS LN
City: Glen Cove
State: New York
ZIP Code: 11542-1225
Phone: (516) 676-1100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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