Individual
DR. AMOS NEAL WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
300 N MAIN ST, TAYLOR, TX 76574-3641
(512) 365-2211
(512) 352-6691
Mailing address
PO BOX 1226, TAYLOR, TX 76574-6226
(512) 365-2211
(512) 352-6691
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
15763
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
040498002
—
TX
01
—
10015889
AMERIGROUP
—
01
—
246392
VALUE OPTIONS
—
01
—
6135007
UNITED HEALTHCARE
—
01
—
86675A
BLUE CROSS BLUE SHIELD
TX
Enumeration date
10/17/2006
Last updated
07/08/2007
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