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Individual

SARAH ELIZABETH WELLMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
104 WILT CT, GOODLETTSVILLE, TN 37072-7080
(502) 855-9745
Mailing address
PO BOX 614, HOPKINSVILLE, KY 42241-0614
(270) 886-2205
(270) 886-0392

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3508
TN
103T00000X
Psychologist
PSYLIP00211375
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1306170410
TN
Enumeration date
09/22/2009
Last updated
02/15/2024
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