Individual
NGOC-QUYNH NGUYEN WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1500 HIGHLAND AVE, RM 361, MADISON, WI 53705-2280
(608) 262-7581
Mailing address
280 CHESTNUT ST FL 2, SPRINGFIELD, MA 01199-1619
(413) 794-5700
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
10559
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2846675
—
OH
Enumeration date
07/20/2011
Last updated
08/07/2019
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