Provider Demographics
NPI:1821018227
Name:WETZEL, NORBERT A (THD)
Entity Type:Individual
Prefix:DR
First Name:NORBERT
Middle Name:A
Last Name:WETZEL
Suffix:
Gender:M
Credentials:THD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:166 BUNN DR
Mailing Address - Street 2:SUITE # 105
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-2800
Mailing Address - Country:US
Mailing Address - Phone:609-921-2551
Mailing Address - Fax:609-921-2298
Practice Address - Street 1:166 BUNN DR
Practice Address - Street 2:SUITE # 105
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-2800
Practice Address - Country:US
Practice Address - Phone:609-921-2551
Practice Address - Fax:609-921-2298
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35 SI 00263700103TF0000X
NJFI 070400106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist