Individual
CHERYL WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
6913 LYNDALE DR, WATAUGA, TX 76148-2143
(682) 298-4892
Mailing address
6913 LYNDALE DR, WATAUGA, TX 76148-2143
(682) 298-4892
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10780
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10780
SPEECH LANGUAGE THERAPIST
TX
Enumeration date
08/24/2015
Last updated
08/24/2015
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