Individual
DR. JADA JERUSHA STEWART-WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
10000 BAY PINES BLVD, BAY PINES, FL 33744-8200
(727) 398-6661
Mailing address
220 6TH AVE N APT 7, ST PETERSBURG, FL 33701-2430
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY9818
FL
Other
Enumeration date
06/06/2017
Last updated
06/06/2017
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