Individual
BRITTANY WERCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
250 NW 76TH DR, GAINESVILLE, FL 32607-6668
(352) 505-6363
Mailing address
250 NW 76TH DR, GAINESVILLE, FL 32607-6668
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PY10258
FL
103T00000X
Psychologist
Primary
PY10258
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12345
—
FL
Enumeration date
06/15/2020
Last updated
06/15/2020
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