Individual
CAROLINA FERNANDEZ WIEBALK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
4835 27TH ST W STE 125, BRADENTON, FL 34207-1759
(941) 753-0064
Mailing address
2701 SW 3RD AVE APT 503, MIAMI, FL 33129-2349
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY12842
FL
Other
Enumeration date
06/07/2023
Last updated
08/03/2025
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