Individual
DR. KEYA J. WIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1150 N 12TH AVE, PENSACOLA, FL 32501-3308
(850) 462-8716
(850) 462-7061
Mailing address
1150 N 12TH AVE, PENSACOLA, FL 32501-3308
(850) 462-8716
(850) 462-7061
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY 8677
FL
103TC1900X
Counseling Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
Other
Enumeration date
01/23/2014
Last updated
09/11/2019
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