Dragonfly Psychological Services Llc | |
920 Windley Dr St Augustine FL 32092-0124 | |
(805) 796-1797 | |
Not Available |
Full Name | Dragonfly Psychological Services Llc |
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Speciality | Psychologist - Clinical |
Location | 920 Windley Dr, St Augustine, Florida |
Authorized Official Name and Position | Deborah Wiedlund-calam (OWNER) |
Authorized Official Contact | 8057961797 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dragonfly Psychological Services Llc 920 Windley Dr St Augustine FL 32092-0124 Ph: (805) 796-1797 | Dragonfly Psychological Services Llc 920 Windley Dr St Augustine FL 32092-0124 Ph: (805) 796-1797 |
NPI Number | 1376394288 |
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Provider Enumeration Date | 03/28/2024 |
Last Update Date | 03/28/2024 |
Certification Date | 03/28/2024 |
Identifier | Type | State | Issuer |
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1376394288 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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