Individual
ROBERT D. WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
334 THOMAS MORE PARKWAY, CRESTVIEW HILLS, KY 41017-3464
(859) 301-5901
(859) 301-5940
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 301-5901
(859) 301-5940
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
129179
KY
103T00000X
Psychologist
1433
KY
103TC1900X
Counseling Psychologist
1433
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0154652
—
OH
05
—
7100403940
—
KY
Enumeration date
09/20/2006
Last updated
04/10/2019
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