Provider Demographics
NPI:1881003028
Name:WELLING, CARA JANE
Entity Type:Individual
Prefix:MS
First Name:CARA
Middle Name:JANE
Last Name:WELLING
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:CARA
Other - Middle Name:JANE
Other - Last Name:STEPHENS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2571 NEIL AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43202-2522
Mailing Address - Country:US
Mailing Address - Phone:614-365-5220
Mailing Address - Fax:614-365-8745
Practice Address - Street 1:2571 NEIL AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43202-2522
Practice Address - Country:US
Practice Address - Phone:614-365-5220
Practice Address - Fax:614-365-8745
Is Sole Proprietor?:No
Enumeration Date:2014-08-12
Last Update Date:2014-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOHI-46-3161103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool