NPI 1508133158
Professional Clinical Services of Wi 1 LLC
Practice location
- Address
- 292 Old Dixie Hwy, Vero Beach, FL 32962-2947
- Phone
- (772) 494-2700
- Fax
- (772) 562-8127
Authorised official
- Name
- David Edward Sommerfeld
- Title
- Manager
- Phone
- (772) 494-2700
Registered specialties (15)
Clinical Psychologist
Primary
Counselor
Mental Health Counselor
Professional Counselor
Psychoanalyst
Psychologist
Adult Development & Aging Psychologist
Cognitive & Behavioral Psychologist
Counseling Psychologist
Health Service Psychologist
Prescribing (Medical) Psychologist
Psychoanalysis Psychologist
Group Psychotherapy Psychologist
Psychiatry Physician
Geriatric Psychiatry Physician
Registry record
- NPI
- 1508133158
- Entity type
- Organization
- NPI issued
- 28 Nov 2011
- Record last updated
- 28 Nov 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.