# ROBERT D. WELLS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1073611554
- **Gender:** Man
- **Credential:** PH.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | 129179 | KY | Yes |
| 103T00000X | Psychologist | 1433 | KY | — |
| 103TC1900X | Counseling Psychologist | 1433 | KY | — |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 04/10/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0154652 | — | OH |
| 05 | — | 7100403940 | — | KY |