Individual provider · Type 1 NPI
William E. Riebsame, PhD
Health Service Psychologist · Palm Bay, FL
Practice location
1555 Port Malabar Blvd NE, Suite 104
Palm Bay, FL 32905-5407
Fax (321) 952-2516
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Forensic Psychologist | 103TF0200X | PY0004169 (FL) |
| Clinical Neuropsychologist | 103G00000X | PY0004169 (FL) |
| Psychologist | 103T00000X | PY0004169 (FL) |
| Health Service Psychologist Primary | 103TH0100X | PY0004169 (FL) |
Health Service Psychologist: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
6 other providers at this address
- Carl D AcquavivaCommunity/Retail Pharmacy Palm Bay, FL NPI 1013928514
- Carl D AcquavivaCommunity/Retail Pharmacy Palm Bay, FL NPI 1528203775
- Sharon Pell LCSWClinical Social Worker Palm Bay, FL NPI 1174936066
- Carly Acquaviva, PHARM. DPharmacist Palm Bay, FL NPI 1003211947
- Doris Wolcott, MS, LMHCMental Health Counselor Palm Bay, FL NPI 1134128325
- Sharon F. Pell, LCSWClinical Social Worker Palm Bay, FL NPI 1336148691
About NPI 1215937826
William E. Riebsame, PhD's National Provider Identifier is 1215937826, issued on Jul 26, 2005. The primary taxonomy on file is Health Service Psychologist (103TH0100X), and the practice location is in Palm Bay, FL. The record was last updated on Sep 11, 2025.