Individual
PAMELA DENISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
379 6TH AVE W, BRADENTON, FL 34205-8820
(941) 782-4100
(941) 782-4101
Mailing address
PO BOX 9478, BRADENTON, FL 34206-9478
(941) 782-4299
(941) 782-4301
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY9584
FL
Other
Enumeration date
08/17/2016
Last updated
08/17/2016
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