Individual
DR. THERESA WELLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3650 STEVE REYNOLDS BLVD., DULUTH, GA 30096
(770) 931-6200
(770) 931-6042
Mailing address
3495 PIEDMONT ROAD, NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305
(404) 364-7070
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY003526
GA
Other
Enumeration date
03/28/2014
Last updated
03/28/2014
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