# RICHARD K. WILLENS, PSYD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427407238
- **Authorized official:** DR. RICHARD KENNETH WILLENS PSY.D. (OWNER)
- **Authorized official phone:** (407) 629-4356

## Contact information

- **Practice address:** 1155 LOUISIANA AVE STE 106, WINTER PARK, FL 32789-2351
- **Practice address phone:** (406) 629-4356
- **Mailing address:** 1155 LOUISIANA AVE STE 106, WINTER PARK, FL 32789-2351
- **Mailing address phone:** (406) 629-4356

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | NULL | Yes |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | — | Yes |

## Other

- **Enumeration date:** 06/13/2016
- **Last updated:** 06/13/2016