Individual
DR. SHERRI LYNN WYATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
11501 RAULERSON RD, RIVERVIEW, FL 33569-6549
(813) 416-7723
Mailing address
11501 RAULERSON RD, RIVERVIEW, FL 33569-6549
(813) 416-7723
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
—
103TC1900X
Counseling Psychologist
—
—
Other
Enumeration date
10/29/2024
Last updated
10/29/2024
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