Individual
MADISON WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
1 DUPONT WAY APT 6, LOUISVILLE, KY 40207-4620
(513) 808-7350
Mailing address
1 DUPONT WAY APT 6, LOUISVILLE, KY 40207-4620
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
07/21/2025
Last updated
07/21/2025
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