Doctor Name: | MARY ALEXIA WELLS |
NPI Number: | 1720498744 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SPEECH PATHOLOGIST M |
License Number: | 13-029 |
Business Practice Address: | 3117 Alvey Park Drive W Owensboro, KS - 42303 |
Business Phone Number: | 2706839992 |
Business Fax Number: | 2706839993 |
Mailing Address: | 3117 Alvey Park Drive W, OWENSBORO |
State: | KS |
Postal Code: | 42303 |
Phone Number: | 2706839992 |
Fax Number: | 2706839993 |
NPI Enumeration Date: | 04/29/2014 |
NPI Last Update Date: | 04/29/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 13-029 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |