Individual
DR. BRITTANY WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
6740 CROSSWINDS DR N STE L, ST PETERSBURG, FL 33710-8606
(727) 599-3624
Mailing address
5116 LONGFIELD RD, BLOOMINGTON, IL 61705-9503
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY10249
FL
103TC0700X
Clinical Psychologist
071.010308
IL
Other
Enumeration date
09/27/2018
Last updated
08/17/2020
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