Individual
DR. IMMACULATE ANN WESLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
622 DEL SOL DR, ALAMOSA, CO 81101-8548
(719) 587-6800
(719) 587-6819
Mailing address
622 DEL SOL DR, ALAMOSA, CO 81101-8548
(719) 587-6800
(719) 587-6819
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1860
CO
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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