Gerald Joseph Wellens PH.D.

NPI 1063513125 - Psychologist - 103TC0700X

NPI Details
NPI 1063513125
Gender Male
Enumeration Date 09/25/2006
Last Updated 10/15/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
130 E WALNUT STREET
SUITE 603
GREEN BAY WI, 54301, US
Phone (920) 432-8777
Fax (920) 435-0749
Business Location
130 E WALNUT STREET
SUITE 603
GREEN BAY WI, 54301, US
Phone (920) 432-8777
Fax (920) 435-0749
Toxanomy
Taxonomy Code 103TC0700X
License State Wisconsin
License Number 0669-057
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According to our database, Dr. Gerald Joseph Wellens PH.D. NPI is 1063513125, taxonomy code is 103TC0700X and license number is 0669-057, license state is located at Wisconsin. Gerald Joseph Wellens PH.D. physically located at 130 E Walnut Street, Green Bay WI, 54301. NPI Number Gerald Joseph Wellens PH.D. has the Individual type.

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1063513125 NPI number is provided on an as is basis without warranty of any kind. 1063513125 is maintained by the National Plan & Provider Enumeration System. The contents of Gerald Joseph Wellens PH.D. are for informational purposes only.