Individual
WILLIAM E. RIEBSAME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1555 PORT MALABAR BLVD NE, SUITE 104, PALM BAY, FL 32905-5407
(321) 729-0870
(321) 952-2516
Mailing address
1555 PORT MALABAR BLVD NE, SUITE 104, PALM BAY, FL 32905-5407
(321) 729-0870
(321) 952-2516
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PY0004169
FL
103T00000X
Psychologist
PY0004169
FL
103TF0200X
Forensic Psychologist
PY0004169
FL
103TH0100X
Health Service Psychologist
Primary
PY0004169
FL
Other
Enumeration date
07/26/2005
Last updated
09/11/2025
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