Mrs. Jeanine B Wells
Psychologist
4905 Berl Dr Ste 3
Saginaw
, Michigan 48604-2807
Mrs. Jeanine B Wells
Psychologist
4905 Berl Dr Ste 3
Saginaw
, Michigan 48604-2807
(989) 790-7182
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About
Features
Specialties
- Psychologist
Languages spoken
- English
Location
First Address
- Mrs. Jeanine B Wells
- 4905 Berl Dr Ste 3
- Saginaw, MI
- Zip : 48604-2807
- Fax : (989) 790-7182
- Phone : (989) 790-5722
Second Address
- Mrs. Jeanine B Wells
- 4905 Berl Dr Ste 3
- Saginaw, MI
- Zip : 48604-2807
- Fax : (989) 790-7182
- Phone : (989) 790-5722
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 102L00000X | Psychologist | 6301003292 | MI |
| Y | 103T00000X | Psychologist | 6301003292 | MI |
National Provider Identifier
| NPI | 1003962572 |
|---|---|
| Provider Name | Mrs. Jeanine B Wells |
| First Address | Saginaw, MI 48604-2807 |
| Second Address | Saginaw, MI 48604-2807 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/01/2007 |
| Last Update Date | 09/08/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1008485 | MCLAREN HEALTH PLAN (01) | MI |
| P57788 | AETNA (01) | MI |
| P57788 | MHN EDS CLAIMS (01) | MI |
| XX09699 | HEALTH PLUS (01) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.