Provider Demographics
NPI:1013089515
Name:WEHRY, DAVID J (PSYD LMHC)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:J
Last Name:WEHRY
Suffix:
Gender:M
Credentials:PSYD LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 GORDON ST
Mailing Address - Street 2:
Mailing Address - City:PITTSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01201-6442
Mailing Address - Country:US
Mailing Address - Phone:413-281-1421
Mailing Address - Fax:413-637-5511
Practice Address - Street 1:22 GORDON ST
Practice Address - Street 2:
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-6442
Practice Address - Country:US
Practice Address - Phone:413-281-1421
Practice Address - Fax:413-637-5511
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6351101Y00000X
MA10466103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA34687OtherHEALTH NEW ENGLAND