Individual
DR. ROBERTA ANN WILDBLOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD, MS, RN
Contact information
Practice address
1400 N SEMORAN BLVD, SUITE E, ORLANDO, FL 32807-3536
(407) 823-8421
(407) 823-8195
Mailing address
1400 N SEMORAN BLVD, SUITE E, ORLANDO, FL 32807-3536
(407) 823-8421
(407) 823-8195
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PY8711
FL
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PY8711
FL
Other
Enumeration date
02/24/2015
Last updated
02/24/2015
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