Individual
ALLISON JENSEN WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
4101 BIRCHMAN AVE, FORT WORTH, TX 76107-4317
(817) 815-1800
Mailing address
3605 ASHFORD AVE, FORT WORTH, TX 76133-3011
(210) 394-4744
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
113666
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
659249401
—
TX
Enumeration date
05/16/2022
Last updated
02/26/2024
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