Individual
KERRY LYN WAGNER-BELLOCCHIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1135
(352) 548-6000
Mailing address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1197
(352) 548-6000
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
03/27/2019
Last updated
03/27/2019
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