Bruce Ivan Kristol in Jacksonville - Clinical
Bruce Ivan Kristol - NPI 1922091198
Bruce Ivan Kristol is a Clinical in Jacksonville, Florida. Bruce Ivan Kristol practices all healthcare services and medical treatments related to Clinical. The NPI Number for Bruce Ivan Kristol is 1922091198. The last update date is 2008-10-16.
Bruce Ivan Kristol's current location address is 7243 San Jose Blvd, Jacksonville, Florida. You can contact this provider via phone number 9047395808 and fax number 9047392528. The mailing address for Bruce Ivan Kristol is 7243 San Jose Blvd, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce Ivan Kristol |
|---|---|
| Address | 7243 San Jose Blvd, Jacksonville, Florida |
| Phone Number | 9047395808 |
| Fax Number | 9047392528 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1922091198 |
|---|---|
| Provider Enumeration Date | 2005-08-23 |
| Last Updated Date | 2008-10-16 |
Provider Mailing Address Detail
| Address | 7243 San Jose Blvd |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322173425 |
| Phone Number | 9047395808 |
| Fax Number | 9047392528 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PY2363 |
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Definition: 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 |
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Post Comment/ Review Below
What is the Bruce Ivan Kristol's 1922091198?
The Bruce Ivan Kristol's NPI (National Provider Identifier) Number is 1922091198. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Bruce Ivan Kristol is located?
The Bruce Ivan Kristol is situated at the following address: 7243 San Jose Blvd, Jacksonville, FL, 322173425.
What is the Bruce Ivan Kristol's area of specialization and corresponding taxonomy classification?
The Bruce Ivan Kristol's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
On what date did the Bruce Ivan Kristol receive the assignment of its 1922091198 from the Centers for Medicare & Medicaid Services?
The Bruce Ivan Kristol was issued its 1922091198 by the Centers for Medicare & Medicaid Services on 2005-08-23.
As of what date was the information pertaining to Bruce Ivan Kristol, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Bruce Ivan Kristol, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-10-16.