Individual
JASON R WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
1301 N 2ND ST, ATCHISON, KS 66002-1297
(913) 367-1593
(913) 367-1627
Mailing address
1301 N 2ND ST, ATCHISON, KS 66002-1297
(913) 367-1593
(913) 367-1627
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1709
KS
Other
Enumeration date
01/08/2008
Last updated
01/08/2008
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