Organization
POLARIS INSIGHT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY WELLS PHD (PSYCHOLOGIST)
(415) 800-7083
Entity
Organization
Contact information
Practice address
4257 18TH ST, SAN FRANCISCO, CA 94114-2409
(415) 800-7083
Mailing address
4257 18TH ST, SAN FRANCISCO, CA 94114-2409
(415) 800-7083
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/07/2018
Last updated
08/07/2018
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