Provider Demographics
NPI:1952555880
Name:WEHLIYE, ABDIRAHMAN H
Entity Type:Individual
Prefix:
First Name:ABDIRAHMAN
Middle Name:H
Last Name:WEHLIYE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:975 THRALL AVE
Mailing Address - Street 2:
Mailing Address - City:SUFFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06078-2343
Mailing Address - Country:US
Mailing Address - Phone:413-262-6156
Mailing Address - Fax:413-746-2024
Practice Address - Street 1:15 LENOX ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01108-2666
Practice Address - Country:US
Practice Address - Phone:413-262-6156
Practice Address - Fax:413-746-2024
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-05
Last Update Date:2008-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical