Organization

Stephanie Wentworth

Marriage & Family Therapist in Brandon, FL(View on Map)

Legal Business Name

Stephanie Wentworth

NPI Number

1063951309

NPI Type

Organization

Enumeration Date

02/20/2017

Specialties

(Taxonomies)

Code

106H00000X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

MT3180

Contact
Information

Purpose

Mailing
Location

Address

1219 MILLENNIUM PKWY
1219 MILLENNIUM PKWY

City

Brandon
Brandon

State

FL
FL

Postal Code

33511-3879
33511-3879

Country

US
US

Telephone Number

(813) 391-3495
(813) 391-3495

Authorized Official

Name

Stephanie Wentworth

Title or Position

OWNER

Telephone Number

(813) 391-3495

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 02/20/2017

Provider Address

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