Individual provider · Type 1 NPI

Jessica Wieboldt, M.ED

Specialist · Oswego, NY

NPI number 1679450852 Active

Practice location

159 W 1st St
Oswego, NY 13126-2045

Call (315) 342-9575 Map

Mailing address

8213 Molson Way
Liverpool, NY 13090-6846

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1679450852

Jessica Wieboldt, M.ED's National Provider Identifier is 1679450852, issued on Aug 19, 2025. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Oswego, NY. The record was last updated on Aug 19, 2025.