Organization
ACADEMIC ASSOCIATES INTEC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER WELLS (PRESIDNET)
(714) 692-5555
Entity
Organization
Contact information
Practice address
848 N RAINBOW BLVD # 2185, LAS VEGAS, NV 89107-1103
(714) 692-5555
Mailing address
848 N RAINBOW BLVD # 2185, LAS VEGAS, NV 89107-1103
(714) 692-5555
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LEP2606
CA
Other
Enumeration date
01/24/2007
Last updated
08/22/2020
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