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Organization

WILLIAM H PETTIBON PHD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WILLIAM HARRY PETTIBON PH.D (CLINICAL PSYCHOLOGIST/OWNER)
(941) 366-1693
Entity
Organization

Contact information

Practice address
3800 S TAMIAMI TRL UNIT 210, SARASOTA, FL 34239-6909
(941) 366-1693
(941) 922-7574
Mailing address
6521 KEYSTONE DR, SARASOTA, FL 34231-7133
(941) 922-7574
(941) 922-7574

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY6096
FL

Other

Enumeration date
04/28/2008
Last updated
04/28/2008
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