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Organization

JANICE WACHTEL, PHD, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JANICE WACHTEL PH.D. (PSYCHOLOGIST)
(904) 834-2235
Entity
Organization

Contact information

Practice address
100 EXECUTIVE WAY,, SUITE 110, PONTE VEDRA BEACH, FL 32082
(904) 834-2235
(904) 834-3520
Mailing address
100 EXECUTIVE WAY,, SUITE 110, PONTE VEDRA BEACH, FL 32082
(904) 834-2235
(904) 834-3520

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P40005827
FL

Other

Enumeration date
05/12/2014
Last updated
07/22/2016
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