Individual provider · Type 1 NPI

Bambi Lynn Wadelton, PLHD

Clinical Psychologist · Ponte Vedra Beach, FL

NPI number 1083764039 Active

Practice location

13000 Sawgrass Village Cir, Suite 46
Ponte Vedra Beach, FL 32082-5016

Fax (904) 280-8562

Specialties and licenses

Taxonomy	Code	License
Clinical Psychologist Primary	103TC0700X	PY5636 (FL)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1083764039

Bambi Lynn Wadelton, PLHD's National Provider Identifier is 1083764039, issued on Jan 11, 2007. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Ponte Vedra Beach, FL. The record was last updated on Jul 8, 2007.