Individual
MICHAEL JOHN WOULAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
8870 TERRENE CT, #102, BONITA SPRINGS, FL 34135-9524
(239) 949-2415
(239) 390-1327
Mailing address
8870 TERRENE CT, #102, BONITA SPRINGS, FL 34135-9524
(239) 949-2415
(239) 390-1327
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
MT0978
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
240441
—
FL
05
—
283561
—
FL
Enumeration date
01/23/2007
Last updated
07/09/2007
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