Individual
DR. SANDRA ROBINSON WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2615 LOWELL CIR, MELBOURNE, FL 32935-2216
(321) 749-0216
Mailing address
2615 LOWELL CIR, MELBOURNE, FL 32935-2216
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY 5491
FL
Other
Enumeration date
10/21/2014
Last updated
10/21/2014
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