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Individual

DR. DIANE M VENDRYES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D

Contact information

Practice address
4719 HIGHWAY 90, MARIANNA, FL 32446-7839
(850) 526-3314
(850) 526-5022
Mailing address
4719 HIGHWAY 90, MARIANNA, FL 32446-7839
(850) 526-3314
(850) 526-5022

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PSY003128
GA
103TC0700X
Clinical Psychologist
Primary
PY7359
FL

Other

Enumeration date
05/02/2008
Last updated
05/26/2021
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