Individual
AMANDA NICOLE WHEELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1303 10TH ST E UNIT C, PALMETTO, FL 34221-4100
(941) 479-7866
Mailing address
6626 67TH CT E, BRADENTON, FL 34203-9738
(317) 468-3773
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
08/27/2019
Last updated
08/13/2024
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