| Donna Wilson Psychotherapy, Inc. | |
|
7901 4th St N Suite 327 St Petersburg FL 33702-4305 | |
| (727) 374-0108 | |
| Not Available |
| Full Name | Donna Wilson Psychotherapy, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 7901 4th St N, St Petersburg, Florida |
| Authorized Official Name and Position | Donna Wilson (PRESIDENT) |
| Authorized Official Contact | 7273740108 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Donna Wilson Psychotherapy, Inc. 7901 4th St N Suite 327 St Petersburg FL 33702-4305 Ph: (727) 374-0108 | Donna Wilson Psychotherapy, Inc. 7901 4th St N Suite 327 St Petersburg FL 33702-4305 Ph: (727) 374-0108 |
| NPI Number | 1790051142 |
|---|---|
| Provider Enumeration Date | 03/30/2012 |
| Last Update Date | 03/30/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790051142 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | SW4971 (Florida) | Primary |
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