Yvette Wirt, PSYCHOLOGY

NPI #1346638376 in Gulf Breeze, Florida

Provider Information

NPI Number: 1346638376
Entity Type: Individual
Name: Yvette Wirt, PSYCHOLOGY
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Analyst
Credential: PSYCHOLOGY
Enumeration Date: Dec 29, 2014
Last Updated: Dec 29, 2014

Practice Location

Address: 5539 SOUNDSIDE DR APT L
City: Gulf Breeze
State: Florida
ZIP Code: 32563-9528
Phone: (850) 376-2129

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Behavior Analyst	103K00000X	Primary

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