Individual
DR. ANNE MARIE WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2740 OAK RIDGE CT STE 304, FORT MYERS, FL 33901-9371
(239) 368-3708
(239) 368-3708
Mailing address
2740 OAK RIDGE CT STE 304, FORT MYERS, FL 33901-9371
(239) 368-3708
(239) 368-3708
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY5593
FL
103T00000X
Psychologist
PY5593
FL
103TC0700X
Clinical Psychologist
PY5593
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54174
BLUE CROSS BLUE SHIELD
FL
Enumeration date
10/04/2006
Last updated
09/13/2018
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