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DR. ANNE MARIE WELLS PHD

Clinical Neuropsychologist

Fort Myers, Florida

Provider NPI: 1740376227

Provider Information:
DR. ANNE MARIE WELLS PHD
Gender: F
Sole Proprietor


Practice Location:
2740 OAK RIDGE CT STE 304  FORT MYERS, FL 33901 US
Tel: 239-368-3708  Fax: 239-368-3708

Business Mailing Address:
2740 OAK RIDGE CT STE 304  FORT MYERS, FL 33901 US
Tel: 239-368-3708  Fax: 239-368-3708

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
FLPY5593
N103T00000XBehavioral Health & Social Service Providers
Psychologist
FLPY5593
N103TC0700XBehavioral Health & Social Service Providers
Psychologist
FLPY5593

Other Provider Identifiers:

IssuerNumberStateType
BLUE CROSS BLUE SHIELD54174FL01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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