Individual
DR. ASIA A WARDLAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
9635 LEMON DROP LOOP, RUSKIN, FL 33573-1202
(313) 318-1833
Mailing address
9635 LEMON DROP LOOP, RUSKIN, FL 33573-1202
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
PY12195
FL
Other
Enumeration date
02/04/2022
Last updated
06/05/2024
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