| Marc S. Dillworth, Ph.d. | |
|
501 Village Green Pkwy Bradenton FL 34209-3404 | |
| (941) 794-1009 | |
| (941) 761-5500 |
| Full Name | Marc S. Dillworth, Ph.d. |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 501 Village Green Pkwy, Bradenton, Florida |
| Authorized Official Name and Position | Marc Scott Dillworth (OWNER) |
| Authorized Official Contact | 9417941009 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marc S. Dillworth, Ph.d. Po Box 14566 Bradenton FL 34280-4566 Ph: (941) 794-1009 | Marc S. Dillworth, Ph.d. 501 Village Green Pkwy Bradenton FL 34209-3404 Ph: (941) 794-1009 |
| NPI Number | 1457779902 |
|---|---|
| Provider Enumeration Date | 04/02/2014 |
| Last Update Date | 04/02/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457779902 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MT 0113 (Florida) | Primary |
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