Organization
M. WHARRY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ANN ELIZABETH WHARRY PSY. D. (PRESIDENT)
(386) 804-6074
Entity
Organization
Contact information
Practice address
101 N WOODLAND BLVD, SUITE 204, DELAND, FL 32720-4245
(386) 804-6074
Mailing address
102 CEDAR POINT LN, LONGWOOD, FL 32779-4944
(386) 804-6074
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY9476
FL
Other
Enumeration date
02/16/2017
Last updated
02/16/2017
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