Individual
DR. MICHELLE RENEE WIDOWS
Active
Individual
DR. MICHELLE RENEE WIDOWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
3155
CO
103T00000X
Psychologist
PY6699
FL
103TC0700X
Clinical Psychologist
3155
CO
103TC0700X
Clinical Psychologist
Primary
PY6699
FL
103TH0004X
Health Psychologist
3155
CO
103TH0004X
Health Psychologist
PY669
FL
Other
Enumeration date
09/10/2009
Last updated
05/01/2024
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