Individual
TENASIA WYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
5240 BABCOCK ST NE STE 300A, PALM BAY, FL 32905-4643
(321) 914-0113
Mailing address
2325 COMMERCE PK DR NE APT 4108, PALM BAY, FL 32905-2663
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
12987
FL
Other
Enumeration date
02/07/2023
Last updated
11/01/2025
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