Individual
DR. JANICE WACHTEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
100 EXECUTIVE WAY, STE 110, PONTE VEDRA BEACH, FL 32082-4753
(904) 834-2235
(866) 531-8858
Mailing address
100 EXECUTIVE WAY, STE 110, PONTE VEDRA BEACH, FL 32082-4753
(904) 834-2235
(866) 531-8858
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY0005827
FL
Other
Enumeration date
08/21/2006
Last updated
02/03/2022
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