Richard K. Willens, Psyd Llc | |
1155 Louisiana Ave Ste 106 Winter Park FL 32789-2351 | |
(406) 629-4356 | |
Not Available |
Full Name | Richard K. Willens, Psyd Llc |
---|---|
Speciality | Psychologist - Clinical Child & Adolescent |
Location | 1155 Louisiana Ave Ste 106, Winter Park, Florida |
Authorized Official Name and Position | Richard Kenneth Willens (OWNER) |
Authorized Official Contact | 4076294356 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Richard K. Willens, Psyd Llc 1155 Louisiana Ave Ste 106 Winter Park FL 32789-2351 Ph: (406) 629-4356 | Richard K. Willens, Psyd Llc 1155 Louisiana Ave Ste 106 Winter Park FL 32789-2351 Ph: (406) 629-4356 |
NPI Number | 1427407238 |
---|---|
Provider Enumeration Date | 06/13/2016 |
Last Update Date | 06/13/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427407238 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Primary |
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