DR. Kelly Jensen Wade PSY.D.

  • NPI 1396025698
According to our database, the NPI number for DR. Kelly Jensen Wade PSY.D. is 1396025698 and activated since 12 years ago. DR. Kelly Jensen Wade PSY.D. is an individual provider who specializes in Clinical, and the primary practice location is 130 Executive Center Pkwy, Fredericksburg, VA 22401. You can also contact DR. Kelly Jensen Wade PSY.D. via telephone number is (540) 370-4468. Provider NPI information was last updated on 09/13/2019.

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Overview of DR. Kelly Jensen Wade PSY.D.

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 08/18/2011
  • Last updated: 09/13/2019

Primary Scrop of Practice

  • Taxonomy Code: 103TC0700X
  • Specialty: Clinical
  • License Number: 0003934
  • License State: CO

Provider Mailing Address

  • Address: 130 Executive Center Pkwy
    Fredericksburg, VA 22401
  • Phone: 540-699-4969
  • Fax:

Provider Practice Location

  • Address: 130 Executive Center Pkwy
    Fredericksburg, VA 22401
  • Phone: 540-370-4468
  • Fax:

Scope of Practice

  • Taxonomy Code: 103TC0700X
  • Specialty: Clinical
  • License Number: 0003934
  • License State: CO
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 27-2331951
  • Identifier Type: Other
  • Identifier State: CO
  • Issuer: TAX ID#

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for DR. Kelly Jensen Wade PSY.D.?
  • A: The npi number for DR. Kelly Jensen Wade PSY.D. is 1396025698.
  • Q: What are DR. Kelly Jensen Wade PSY.D.'s specialties?
  • A: DR. Kelly Jensen Wade PSY.D.'s specialties are Clinical and different specialities.
  • Q: What is the medical license for DR. Kelly Jensen Wade PSY.D.?
  • A: The medical license number for DR. Kelly Jensen Wade PSY.D. is 0003934 and issued in CO in USA.
  • Q: Where is DR. Kelly Jensen Wade PSY.D. practice location?
  • A: DR. Kelly Jensen Wade PSY.D. is practicing at 130 Executive Center Pkwy, Fredericksburg, VA 22401.
  • Q: How to contact DR. Kelly Jensen Wade PSY.D.?
  • A: You can contact DR. Kelly Jensen Wade PSY.D. via 540-370-4468.
Medicare Specialty
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Sports Medicine
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