Individual
WILLIAM HARRY PETTIBON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
3800 S TAMIAMI TRL UNIT 210, SARASOTA, FL 34239-6909
(941) 366-1693
(941) 922-7574
Mailing address
6521 KEYSTONE DR, SARASOTA, FL 34231-7133
(941) 366-1693
(941) 922-7574
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY6096
FL
Other
Enumeration date
10/23/2007
Last updated
10/23/2007
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