Psychological Services Of Jacksonville Llc in Orange Park - Clinical
Psychological Services Of Jacksonville Llc - NPI 1528005311
Psychological Services Of Jacksonville Llc is a Clinical in Orange Park, Florida. Psychological Services Of Jacksonville Llc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Psychological Services Of Jacksonville Llc is 1528005311. The last update date is 2015-08-24.
Psychological Services Of Jacksonville Llc's current location address is 358 Stiles Ave, Orange Park, Florida. You can contact this provider via phone number 9042648311 and fax number 9042648377. The mailing address for Psychological Services Of Jacksonville Llc is 358 Stiles Ave, Orange Park, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Psychological Services Of Jacksonville Llc |
|---|---|
| Address | 358 Stiles Ave, Orange Park, Florida |
| Phone Number | 9042648311 |
| Fax Number | 9042648377 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CLINICAL P |
|---|---|
| Authorized Official Name | Fox K Dawn |
| Credentials | PSYD |
| Telephone Number | 9042648311 |
NPI Number Detail
| NPI Number | 1528005311 |
|---|---|
| Provider Enumeration Date | 2006-06-01 |
| Last Updated Date | 2015-08-24 |
Provider Mailing Address Detail
| Address | 358 Stiles Ave |
|---|---|
| City | Orange Park |
| State | Florida (FL) |
| Post Code | 320734012 |
| Phone Number | 9042648311 |
| Fax Number | 9042648377 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PY-7122 |
|
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 |
|
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Psychological Services Of Jacksonville Llc by the Centers for Medicare & Medicaid Services?
The Psychological Services Of Jacksonville Llc has been assigned the NPI (National Provider Identifier) 1528005311 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Psychological Services Of Jacksonville Llc is geographically located?
The Psychological Services Of Jacksonville Llc is physically situated at the following location: 358 Stiles Ave, Orange Park, FL, 320734012.
What is the Psychological Services Of Jacksonville Llc's area of specialization and corresponding taxonomy classification?
The Psychological Services Of Jacksonville Llc'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 Centers for Medicare & Medicaid Services assign the 1528005311 to Psychological Services Of Jacksonville Llc?
The Centers for Medicare & Medicaid Services assigned the 1528005311 to Psychological Services Of Jacksonville Llc on 2006-06-01.
As of what date was the information regarding Psychological Services Of Jacksonville Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Psychological Services Of Jacksonville Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-08-24.