Organization
RICHARD K. WILLENS, PSYD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD KENNETH WILLENS PSY.D. (OWNER)
(407) 629-4356
Entity
Organization
Contact information
Practice address
1155 LOUISIANA AVE STE 106, WINTER PARK, FL 32789-2351
(406) 629-4356
Mailing address
1155 LOUISIANA AVE STE 106, WINTER PARK, FL 32789-2351
(406) 629-4356
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
06/13/2016
Last updated
06/13/2016
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