Wilkinson, Berney J

Wilkinson, Berney J is an individual health care provider with primary practice located at 3515 E Fletcher Ave Mdc 102, Tampa FL 33613-4706. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Wilkinson, Berney J can be contacted via phone (813) 974-8900.

Contact Information

Primary practice address
3515 E Fletcher Ave Mdc 102 Tampa FL 33613-4706
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X PY7550 Florida
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY7550 Florida

Profile Details

NPI number 1811936073
LBN Legal business name Wilkinson, Berney J
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Jun 4th, 2008 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1811936073 NPPES
Florida Other 74327 BLUE CROSS BLUE SHIELD

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