Individual
BERNEY J WILKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
3515 E FLETCHER AVE, MDC 102, TAMPA, FL 33613-4706
(813) 974-8900
Mailing address
PO BOX 917770, ORLANDO, FL 32891-7770
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY7550
FL
103TS0200X
School Psychologist
PY7550
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
74327
BLUE CROSS BLUE SHIELD
FL
Enumeration date
06/05/2006
Last updated
06/04/2008
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