Individual
ANGELA DEE WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 SOUTH BROAD STREET, SUITE A, GROVE CITY, PA 16127
(724) 458-1500
Mailing address
234 CAMPBELL RD, BOYERS, PA 16020-2102
(724) 504-0942
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL008067
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101704382
—
PA
Enumeration date
06/08/2007
Last updated
11/03/2015
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