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General NPI Number Information
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NPI Number | 1992171474
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Entity Type | Individual
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Provider Name | KATHRYN P WELLS CAGS MA
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Gender | Female
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Dates
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Enumeration Date | 08/19/2015
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Last Update Date | 02/21/2025
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Provider Practice Location Address
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Address Line | 256 N WASHINGTON ST STE 2
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City | FALLS CHURCH
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State | VA
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Zip | 22046-4517
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Country | US
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Telephone | 703-942-9745
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Fax | 757-585-4466
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Provider Business Mailing Address
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Address Line | 256 N WASHINGTON ST STE 2
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City | FALLS CHURCH
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State | VA
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Zip | 22046-4517
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Country | US
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Telephone | 703-942-9745
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Fax | 757-585-4466
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 0803000304
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 968032
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License Number State | NJ
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