Organization
CAMILLE BUSSOTTI PH.D.,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAMILLE BUSSOTTI PHD (OWNER)
(941) 350-2247
Entity
Organization
Contact information
Practice address
2175 S TAMIAMI TRL, SUITE 75, OSPREY, FL 34229-9696
(941) 350-2247
(941) 924-7707
Mailing address
2175 S TAMIAMI TRL, SUITE 75, OSPREY, FL 34229-9696
(941) 350-2247
(941) 924-7707
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
L12000075656
FL
Other
Enumeration date
08/16/2012
Last updated
08/16/2012
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