| Janice Wachtel, Phd, Llc | |
|
100 Executive Way, Suite 110 Ponte Vedra Beach FL 32082 | |
| (904) 834-2235 | |
| (904) 834-3520 |
| Full Name | Janice Wachtel, Phd, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 100 Executive Way,, Ponte Vedra Beach, Florida |
| Authorized Official Name and Position | Janice Wachtel (PSYCHOLOGIST) |
| Authorized Official Contact | 9048342235 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Janice Wachtel, Phd, Llc 100 Executive Way, Suite 110 Ponte Vedra Beach FL 32082 Ph: (904) 834-2235 | Janice Wachtel, Phd, Llc 100 Executive Way, Suite 110 Ponte Vedra Beach FL 32082 Ph: (904) 834-2235 |
| NPI Number | 1811308901 |
|---|---|
| Provider Enumeration Date | 05/12/2014 |
| Last Update Date | 07/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811308901 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | P40005827 (Florida) | Primary |
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