Individual
DR. DAVID T. WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
6-B GLEN-ED PROFESSIONAL PARK, GLEN CARBON, IL 62034-3333
(618) 692-9600
(618) 692-9607
Mailing address
6-B GLEN-ED PROFESSIONAL PARK, GLEN CARBON, IL 62034-3333
(618) 692-9600
(618) 692-9607
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
048560
VALUE OPTIONS
IL
01
—
126302
HEALTHLINK
IL
01
—
14842
BCBS MO
MO
01
—
1733254
FIRST HEALTH
IL
01
—
5823117
AETNA
IL
01
—
6072011
BCBS IL
IL
01
—
6111855
UNITED HEALTHCARE
IL
01
—
R18036
MERCY HEALTH PLANS
IL
Enumeration date
07/10/2006
Last updated
07/08/2007
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