Walters, Phyllis Annette

Walters, Phyllis Annette is an sole proprietor health care provider with primary practice located at 9220 Bonita Beach Rd Se Ste 222 , Bonita Springs FL 34135-4235. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / School is her primary health care specialty. Walters, Phyllis Annette can be contacted via phone (239) 404-9396.

Contact Information

Primary practice address
9220 Bonita Beach Rd Se Ste 222 Bonita Springs FL 34135-4235
Phone: (239) 404-9396
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X SS756 Florida
Behavioral Health & Social Service Providers / School 103TS0200X SS756 Florida

Profile Details

NPI number 1326684044
LBN Legal business name Walters, Phyllis Annette
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 19th, 2019
Last updated Nov 19th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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