Individual
AMY WENDITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
135 N MOON AVE, BRANDON, FL 33510-4419
(813) 689-8828
(813) 689-8802
Mailing address
126 LITHIA PINECREST RD STE 107, BRANDON, FL 33511-5347
(813) 689-8828
(813) 689-8802
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/18/2014
Last updated
06/29/2022
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