Gregory Charles Wells, PhD
Psychologist, Clinical in San Francisco, CA. Individual provider (NPI-1).
NPI number1497900153
StatusActive
Last updated in NPPESApr 7, 2010
Details
- NPI
- 1497900153
- Entity type
- Individual (NPI-1)
- Name
- Gregory Charles Wells
- Credential
- PhD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 22, 2008
- Last updated
- Apr 7, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 23440 | CA | Yes |
| 103TC0700X | Psychologist, Clinical | 1111 | LA | |
| 103TS0200X | Psychologist, School | 1111 | LA | |
| 103T00000X | Psychologist | 23440 | CA | |
| 103TC2200X | Psychologist, Clinical Child & Adolescent | 23440 | CA | |
| 103TB0200X | Psychologist, Cognitive & Behavioral | 23440 | CA | |
| 103TC2200X | Psychologist, Clinical Child & Adolescent | 1111 | LA |
Practice location
4257 18th StSan Francisco, CA 94114-2409
Phone 415-874-9226 · Fax 415-874-9448
Mailing address
4257 18th StSan Francisco, CA 94114-2409
Phone 415-874-9226 · Fax 415-874-9448
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