Wanda Louise Bethea

Psychologist · Melbourne, FL

Individual Active NPI

NPI number 1134337926

Practice location

405 E Strawbridge Ave
Melbourne, FL 32901-4558
Phone
(321) 724-6177

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NPI record

NPI
1134337926
Entity type
Individual (Type 1)
Enumeration date
May 18, 2007
Last updated
July 16, 2010
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Psychologist Primary 103T00000X PY4731 FL

Mailing address

265 Lago Cir
Apt. #302
West Melbourne, FL 32904-3383

About Wanda Bethea

Wanda Louise Bethea is a healthcare provider registered in the NPI registry with the primary taxonomy Psychologist (code 103T00000X). The practice location is 405 E Strawbridge Ave, Melbourne, FL 32901-4558. The NPI number 1134337926 was assigned on May 18, 2007 and the record was last updated on July 16, 2010.

Wanda Bethea lists a license in the registry: #PY4731 (FL) for Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Wanda Louise Bethea?

The NPI number is 1134337926.

What is the phone number of Wanda Bethea?

The phone number listed for the practice location is (321) 724-6177.

Where is Wanda Bethea located?

405 E Strawbridge Ave, Melbourne, FL 32901-4558.

What is the taxonomy code for Wanda Bethea?

The primary taxonomy code is 103T00000X – Psychologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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