Individual
RICHARD K WILLENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D
Contact information
Practice address
1155 LOUISIANA AVE STE 106, WINTER PARK, FL 32789-2351
(407) 629-4356
(407) 629-1812
Mailing address
1155 LOUISIANA AVE STE 106, WINTER PARK, FL 32789-2351
(407) 629-4356
(407) 629-1812
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY4820
FL
Other
Enumeration date
01/22/2007
Last updated
07/08/2007
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