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NPI Code Detail

MEDICARE: MICHAEL WELLS PH.D

MEDICARE: MICHAEL WELLS PH.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist7882NY

General Provider Information

NPI Number : 1558427682
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL WELLS PH.D
Provider Business Mailing Address
First Line : 10 INDIAN HILL RD
Second Line :
City : KATONAH
State : NY
Zip : 10536-2900
Country : US
Telephone Number : 914-232-3833
Fax Number :
Provider Business Practice Location Address
First Line : 223 KATONAH AVE
Second Line :
City : KATONAH
State : NY
Zip : 10536-2146
Country : US
Telephone Number : 914-232-3833
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/01/2007
Last Update Date : 07/08/2007

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Directions to “ MICHAEL WELLS PH.D” Practice Location

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