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Organization
WILLIAM H PETTIBON PHD
Active
Organization
WILLIAM H PETTIBON PHD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM HARRY PETTIBON PHD (PSYCHOLOGIST)
(941) 922-7574
Entity
Organization
Contact information
Practice address
3800 S TAMIAMI TR, SUITE 210, SARASOTA, FL 34239-6909
(941) 366-1693
(941) 922-7574
Mailing address
6521 KEYSTONE DR, SARASOTA, FL 34231-7133
(941) 922-7574
(941) 922-7574
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PY6096
FL
Other
Enumeration date
08/14/2006
Last updated
10/23/2007
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