Individual
DEBBIE WENNERSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
10939 VERSAILLES BLVD, CLERMONT, FL 34711-7351
(352) 409-3176
Mailing address
10939 VERSAILLES BLVD, CLERMONT, FL 34711-7351
(352) 409-3176
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY5248
FL
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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