Individual provider · Type 1 NPI

Brittany Wade, PhD

Psychologist · St. Petersburg, FL

NPI number 1396220117 Active

Practice location

6740 Crosswinds Dr N Ste L
St. Petersburg, FL 33710-8606

Mailing address

5116 Longfield Rd
Bloomington, IL 61705-9503

Other practice locations

  • 2103 E Washington St Ste 1D, Bloomington, IL 61701-4365 · (941) 416-1743

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XPY10249 (FL)
Clinical Psychologist 103TC0700X071.010308 (IL)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1396220117

Brittany Wade, PhD's National Provider Identifier is 1396220117, issued on Sep 27, 2018. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in St. Petersburg, FL. The record was last updated on Aug 17, 2020.