Healthcare Provider Details

I. General information

NPI: 1538008065
Provider Name (Legal Business Name): WELLNESS OUR WAY PSYCHOLOGICAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2026
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 CERRITOS AVE UNIT 4
LONG BEACH CA
90802-5515
US

IV. Provider business mailing address

2436 E 4TH ST
LONG BEACH CA
90814-1156
US

V. Phone/Fax

Practice location:
  • Phone: 323-481-9681
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. KENNETH B SPEARS
Title or Position: OWNER
Credential: PSY.D.
Phone: 323-481-9681