Bambi Lynn Wadelton in Ponte Vedra Beach - Clinical
Bambi Lynn Wadelton - NPI 1083764039
Bambi Lynn Wadelton is a Clinical in Ponte Vedra Beach, Florida. Bambi Lynn Wadelton practices all healthcare services and medical treatments related to Clinical. The NPI Number for Bambi Lynn Wadelton is 1083764039. The last update date is 2007-07-08.
Bambi Lynn Wadelton's current location address is 13000 Sawgrass Village Cir, Ponte Vedra Beach, Florida. You can contact this provider via phone number 9042808555 and fax number 9042808562. The mailing address for Bambi Lynn Wadelton is 13000 Sawgrass Village Cir, Ponte Vedra Beach, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bambi Lynn Wadelton |
|---|---|
| Address | 13000 Sawgrass Village Cir, Ponte Vedra Beach, Florida |
| Phone Number | 9042808555 |
| Fax Number | 9042808562 |
| Sole Proprietor | Y |
| Credentials | PLHD |
NPI Number Detail
| NPI Number | 1083764039 |
|---|---|
| Provider Enumeration Date | 2007-01-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 13000 Sawgrass Village Cir |
|---|---|
| City | Ponte Vedra Beach |
| State | Florida (FL) |
| Post Code | 320825016 |
| Phone Number | 9042808555 |
| Fax Number | 9042808562 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PY5636 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Bambi Lynn Wadelton?
The Bambi Lynn Wadelton has been issued the NPI (National Provider Identifier) 1083764039 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Bambi Lynn Wadelton?
The Bambi Lynn Wadelton is physically situated at 13000 Sawgrass Village Cir, in the city of Ponte Vedra Beach, state of FL, with the postal code 320825016.
What is Bambi Lynn Wadelton's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Bambi Lynn Wadelton's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1083764039 to Bambi Lynn Wadelton?
The Centers for Medicare & Medicaid Services originally issued the 1083764039 to Bambi Lynn Wadelton on 2007-01-11.
When was the information related to Bambi Lynn Wadelton most recently updated or refreshed?
The details pertaining to the Bambi Lynn Wadelton, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.