Bethea, Wanda Louise
Bethea, Wanda Louise is an sole proprietor health care provider with primary practice located at 405 E Strawbridge Ave , Melbourne FL 32901-4558. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Bethea, Wanda Louise can be contacted via phone (321) 724-6177.Contact Information
Primary practice address
405 E Strawbridge Ave
Melbourne FL 32901-4558
Phone: (321) 724-6177
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PY4731 | Florida |
Profile Details
| NPI number | 1134337926 |
|---|---|
| LBN Legal business name | Bethea, Wanda Louise |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 18th, 2007 |
| Last updated | Jul 16th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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