| Dsw Behaviorial Health Center | |
|
608 Jeremy Ct Crestview FL 32539-6941 | |
| (850) 585-9492 | |
| (850) 689-2617 |
| Full Name | Dsw Behaviorial Health Center |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 608 Jeremy Ct, Crestview, Florida |
| Authorized Official Name and Position | Shirley Madelene Wright (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8505859492 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dsw Behaviorial Health Center 608 Jeremy Ct Crestview FL 32539-6941 Ph: (850) 585-9492 | Dsw Behaviorial Health Center 608 Jeremy Ct Crestview FL 32539-6941 Ph: (850) 585-9492 |
| NPI Number | 1902088727 |
|---|---|
| Provider Enumeration Date | 12/04/2007 |
| Last Update Date | 12/04/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902088727 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (Florida) | Primary |
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