Wildblood, Roberta Ann

Wildblood, Roberta Ann is an individual health care provider with primary practice located at 1400 N Semoran Blvd Suite E, Orlando FL 32807-3536. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is her primary health care specialty. Wildblood, Roberta Ann can be contacted via phone (407) 823-8421.

Contact Information

Primary practice address
1400 N Semoran Blvd Suite E Orlando FL 32807-3536
Phone: (407) 823-8421
Fax: (407) 823-8195
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY8711 Florida
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PY8711 Florida

Profile Details

NPI number 1902298250
LBN Legal business name Wildblood, Roberta Ann
Credentials PSYD, MS, RN
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2015
Last updated Feb 24th, 2015 - about 11 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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