Organization · Type 2 NPI

Well America Inc

Clinical Psychologist · Raleigh, NC

NPI number 1053074765 Active

Practice location

4030 Wake Forest Rd Ste 349
Raleigh, NC 27609-0010

Call (888) 419-9355 Map

Fax (201) 646-3955

Mailing address

79 Ogle Rd
Old Tappan, NJ 07675-7026

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XNone listed

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1053074765

Well America Inc's National Provider Identifier is 1053074765, issued on Oct 19, 2021. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Raleigh, NC. The record was last updated on Oct 20, 2026.