Individual
SHANDA R WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
20 S PARK ST, MADISON, WI 53715-1348
(608) 287-2340
(608) 287-2580
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3094
WI
Other
Enumeration date
08/06/2013
Last updated
08/06/2013
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