VICKY WOLFE


Address: 203 Hollywood Blvd Ne, Fort Walton Beach, FL 32548-5775
Phone: 8502267666

VICKY WOLFE (NPI# 1912525866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912525866
Entity Type Individual
Full Name VICKY WOLFE
Credential PHD
Practice Address 203 Hollywood Blvd Ne
Fort Walton Beach
FL 32548-5775
Mailing Address 3 Vine Ave Ne
Fort Walton Beach
FL 32548-5069
Practice Telephone 8502267666
Enumeration Date 2020-07-08
Last Update Date 2020-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
PY10802 FL Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
3 Vine Ave Ne, Fort Walton Beach, FL 325485069 8502267666

Office Location

Street Address 203 HOLLYWOOD BLVD NE
City FORT WALTON BEACH
State FL
Zip Code 32548-5775

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1881090702 Annette Peadro Behavioral Analyst 171 Brooks St, Suite 308, Fort Walton Beach, FL 32548 2014-11-05
1790037729 Julie Bradfield Counselor 44 Shell Ave, Fort Walton Beach, FL 32548 2012-10-15
1740559582 Beth Paula Ritenour Pharmacist 414 Mary Esther Cutoff Nw, C, Fort Walton Beach, FL 32548 2011-12-23
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Taxonomy Information

Taxonomy Code 103TC2200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical Child & Adolescent

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

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1144841727 Chalfin Psychology Services, Inc. Psychologist 7800 Sw 57th Ave Ste 114, South Miami, FL 33143-5543 2020-05-05
1346738705 Tampa Psychology Group Psychologist 1463 Oakfield Dr Ste 109, Brandon, FL 33511 2018-05-01
1447765631 Cristina Anderson Psychologist 3081 Salzedo St Ste 202, Coral Gables, FL 33134-6725 2017-12-10
1073028734 Audra Walsh, Phd, LLC Psychologist 1039 Park St N, St Petersburg, FL 33710-4317 2017-12-04
1801327564 Paola Granados-radlick Psychologist 1200 Brickell Ave Ste 850, Miami, FL 33131-3212 2017-03-24
1205388527 Safe Landing, Inc Psychologist 9200 Nw 8th Ave, Miami, FL 33150-2016 2016-11-03
1124574595 Michelle C Fernandez Psychologist 7800 Sw 57th Avenue Suite 114, South Miami, FL 33143 2016-08-26
1952764060 Penelope L. Norton, Phd Psychologist 555 W Granada Blvd Ste E3, Ormond Beach, FL 32174-9401 2016-04-05
1033574686 Erika Tornatore Psychologist 1485 S Semoran Blvd., Suite 1448, Winter Park, FL 32792 2015-12-28
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Competitor

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City FORT WALTON BEACH
Zip Code 32548

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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