Holli L Bodner Psy D P A | |
51 Wallace Ave Sarasota FL 34237-6025 | |
(941) 351-8333 | |
(941) 359-3148 |
Full Name | Holli L Bodner Psy D P A |
---|---|
Speciality | Psychologist - Clinical |
Location | 51 Wallace Ave, Sarasota, Florida |
Authorized Official Name and Position | Holli L Bodner (OWNER) |
Authorized Official Contact | 9413518333 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Holli L Bodner Psy D P A 51 Wallace Ave Sarasota FL 34237-6025 Ph: (941) 351-8333 | Holli L Bodner Psy D P A 51 Wallace Ave Sarasota FL 34237-6025 Ph: (941) 351-8333 |
NPI Number | 1548422652 |
---|---|
Provider Enumeration Date | 06/30/2008 |
Last Update Date | 06/30/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548422652 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PY0004288 (Florida) | Primary |
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