Individual
CHARLES HOWARD WHEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2240 BELLEAIR RD, SUITE 170, CLEARWATER, FL 33764-1706
(727) 535-0468
(727) 535-2588
Mailing address
2240 BELLEAIR RD, SUITE 170, CLEARWATER, FL 33764-1706
(727) 535-0468
(727) 535-2588
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY2942
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
98371
—
FL
01
—
P00407182
RAILROAD MEDICARE
—
Enumeration date
03/14/2006
Last updated
04/09/2008
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