Wells, David Matthew

Wells, David Matthew is an individual health care provider with primary practice located at 11505 36Th Ave N , Plymouth MN 55441-2304. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Wells, David Matthew can be contacted via phone (763) 509-3800.

Contact Information

Primary practice address
11505 36Th Ave N Plymouth MN 55441-2304
Phone: (763) 509-3800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP5931 Minnesota

Profile Details

NPI number 1548696602
LBN Legal business name Wells, David Matthew
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2013
Last updated Jun 27th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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