Individual
GREGORY CHARLES WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
4257 18TH ST, SAN FRANCISCO, CA 94114-2409
(415) 874-9226
(415) 874-9448
Mailing address
4257 18TH ST, SAN FRANCISCO, CA 94114-2409
(415) 874-9226
(415) 874-9448
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
23440
CA
103TB0200X
Cognitive & Behavioral Psychologist
23440
CA
103TC0700X
Clinical Psychologist
1111
LA
103TC0700X
Clinical Psychologist
Primary
23440
CA
103TC2200X
Clinical Child & Adolescent Psychologist
1111
LA
103TC2200X
Clinical Child & Adolescent Psychologist
23440
CA
103TS0200X
School Psychologist
1111
LA
Other
Enumeration date
11/22/2008
Last updated
04/07/2010
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