Organization
DONNA WILSON PSYCHOTHERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA WILSON (PRESIDENT)
(727) 374-0108
Entity
Organization
Contact information
Practice address
7901 4TH ST N, SUITE 327, ST PETERSBURG, FL 33702-4305
(727) 374-0108
Mailing address
7901 4TH ST N, SUITE 327, ST PETERSBURG, FL 33702-4305
(727) 374-0108
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
SW4971
FL
Other
Enumeration date
03/30/2012
Last updated
03/30/2012
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