Individual
ANNE M WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.,HSPP
Contact information
Practice address
4795 BROADWAY, GARY, IN 46409-2403
(219) 887-3688
Mailing address
4795 BROADWAY, GARY, IN 46409-2403
(219) 887-3688
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20041315A
IN
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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