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Individual

DR. WILLIAM R. EARNEST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D

Contact information

Practice address
1115 N GADSDEN ST, TALLAHASSEE, FL 32303-6327
(850) 521-0518
Mailing address
1115 N GADSDEN ST, TALLAHASSEE, FL 32303-6327
(850) 521-0518

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY4072
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
73404
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/08/2010
Last updated
07/08/2010
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