Organization
CHARLES WHEATON PHD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES WHEATON PHD (PRESIDENT)
(727) 535-0468
Entity
Organization
Contact information
Practice address
2240 BELLEAIR ROAD, SUITE 170, CLEARWATER, FL 33764-1706
(727) 535-0468
(727) 535-2588
Mailing address
2240 BELLEAIR ROAD, SUITE 170, CLEARWATER, FL 33764-1706
(727) 535-0468
(727) 535-2588
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY2942
FL
Other
Enumeration date
04/28/2008
Last updated
04/28/2008
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