Individual
DR. BRANDI WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
125 TOWNPARK DR NW, SUITE 300, KENNESAW, GA 30144-5803
(770) 864-7644
Mailing address
125 TOWNPARK DR NW, SUITE 300, KENNESAW, GA 30144-5803
(770) 864-7644
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY003433
GA
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
003433
GA
Other
Enumeration date
01/20/2011
Last updated
09/14/2016
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