Individual
DR. AMOS NEAL WOLF
Active
Individual
DR. AMOS NEAL WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
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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