Provider Demographics
NPI:1063246817
Name:ATTUNE MARRIAGE AND FAMILY THERAPY PC
Entity type:Organization
Organization Name:ATTUNE MARRIAGE AND FAMILY THERAPY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:JILL
Authorized Official - Middle Name:R
Authorized Official - Last Name:WELDUM
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:315-696-1360
Mailing Address - Street 1:205 HAMILTON PKWY
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13214-2331
Mailing Address - Country:US
Mailing Address - Phone:315-696-1360
Mailing Address - Fax:315-314-7726
Practice Address - Street 1:6700 KIRKVILLE RD STE 107
Practice Address - Street 2:
Practice Address - City:EAST SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13057-9382
Practice Address - Country:US
Practice Address - Phone:315-696-1360
Practice Address - Fax:315-314-7726
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-26
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty