| Wendy Blumenthal, Ph.d. | |
|
3823 E State Road 64 Bradenton FL 34208-9041 | |
| (941) 745-5111 | |
| (941) 745-5667 |
| Full Name | Wendy Blumenthal, Ph.d. |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 3823 E State Road 64, Bradenton, Florida |
| Authorized Official Name and Position | Wendy Blumenthal, Ph.d. (PRESIDENT) |
| Authorized Official Contact | 9417455111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wendy Blumenthal, Ph.d. 3823 E State Road 64 Bradenton FL 34208-9041 Ph: (941) 745-5111 | Wendy Blumenthal, Ph.d. 3823 E State Road 64 Bradenton FL 34208-9041 Ph: (941) 745-5111 |
| NPI Number | 1225214877 |
|---|---|
| Provider Enumeration Date | 01/14/2008 |
| Last Update Date | 10/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225214877 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 9317 (Florida) | Primary |
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