Individual
DAVID LAWERENCE MODDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
8877 SE 165TH MULBERRY LN, THE VILLAGES, FL 32162-5887
(352) 674-1750
Mailing address
5051 SE 110TH ST, BELLEVIEW, FL 34420-3115
(352) 245-9157
(352) 245-3031
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY6041
FL
Other
Enumeration date
04/26/2007
Last updated
08/18/2025
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