Individual
NICOLE K WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
825 FAIRFAX AVE, SUITE 710, NORFOLK, VA 23507-1914
(757) 446-5888
(757) 446-5918
Mailing address
PO BOX 936, NORFOLK, VA 23501-0936
(757) 446-5888
(757) 446-5918
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810005453
VA
Other
Enumeration date
10/29/2014
Last updated
07/25/2019
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