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Organization
RICHARD K. WILLENS, PSYD LLC
Active
Organization
RICHARD K. WILLENS, PSYD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD KENNETH WILLENS PSY.D. (OWNER)
(407) 629-4356
Entity
Organization
Contact information
Practice address
1155 LOUISIANA AVE STE 106, WINTER PARK, FL 32789-2351
(406) 629-4356
Mailing address
1155 LOUISIANA AVE STE 106, WINTER PARK, FL 32789-2351
(406) 629-4356
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
NULL
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
06/13/2016
Last updated
06/13/2016
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