Individual
CODY WELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LEP
Contact information
Practice address
2601 EL PORTAL DR, BAKERSFIELD, CA 93309-5333
(661) 363-3111
Mailing address
PO BOX 22732, BAKERSFIELD, CA 93390-2732
(661) 237-3607
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LEP4136
CA
Other
Enumeration date
08/11/2021
Last updated
10/24/2022
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