David T. Wells is a Clinical in Glen Carbon, Illinois. David T. Wells practices all healthcare services and medical treatments related to Clinical. The NPI Number for David T. Wells is 1881628782. The last update date is 2007-07-08.
David T. Wells's current location address is 6-b Glen-ed Professional Park, Glen Carbon, Illinois. You can contact this provider via phone number 6186929600 and fax number 6186929607. The mailing address for David T. Wells is 6-b Glen-ed Professional Park, Glen Carbon, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David T. Wells |
|---|---|
| Address | 6-b Glen-ed Professional Park, Glen Carbon, Illinois |
| Phone Number | 6186929600 |
| Fax Number | 6186929607 |
| Sole Proprietor | Y |
| Credentials | PH.D |
NPI Number Detail
| NPI Number | 1881628782 |
|---|---|
| Provider Enumeration Date | 2006-07-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6-b Glen-ed Professional Park |
|---|---|
| City | Glen Carbon |
| State | Illinois (IL) |
| Post Code | 620343333 |
| Phone Number | 6186929600 |
| Fax Number | 6186929607 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 14842 | MO | BCBS MO | |
| 6072011 | IL | BCBS IL | |
| 6111855 | IL | UNITED HEALTHCARE | |
| 126302 | IL | HEALTHLINK | |
| R18036 | IL | MERCY HEALTH PLANS | |
| 48560 | IL | VALUE OPTIONS | |
| 1733254 | IL | FIRST HEALTH | |
| 5823117 | IL | AETNA |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to David T. Wells by the Centers for Medicare & Medicaid Services?
The David T. Wells has been assigned the NPI (National Provider Identifier) 1881628782 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where David T. Wells's facilities are geographically located?
The facilities of David T. Wells are physically situated at the following location: 6-B Glen-Ed Professional Park, Glen Carbon, IL, 620343333.
What is David T. Wells's specialized field of practice, and what is the corresponding taxonomy classification code?
The David T. Wells's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date did the David T. Wells receive the assignment of its 1881628782 from the Centers for Medicare & Medicaid Services?
The David T. Wells was issued its 1881628782 by the Centers for Medicare & Medicaid Services on 2006-07-10.
When was the information related to David T. Wells most recently updated or refreshed?
The details pertaining to the David T. Wells, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.