Holly M. Antal in Jacksonville - Clinical Child & Adolescent
Holly M. Antal - NPI 1336150853
Holly M. Antal is a Clinical Child & Adolescent in Jacksonville, Florida. Holly M. Antal practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Holly M. Antal is 1336150853. The last update date is 2011-09-02.
Holly M. Antal's current location address is 807 Childrens Way, Jacksonville, Florida. You can contact this provider via phone number 9043903785 and fax number 9043903512. The mailing address for Holly M. Antal is 807 Childrens Way, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Holly M. Antal |
|---|---|
| Address | 807 Childrens Way, Jacksonville, Florida |
| Phone Number | 9043903785 |
| Fax Number | 9043903512 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1336150853 |
|---|---|
| Provider Enumeration Date | 2006-08-10 |
| Last Updated Date | 2011-09-02 |
Provider Mailing Address Detail
| Address | 807 Childrens Way |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322078426 |
| Phone Number | 9043903785 |
| Fax Number | 9043903512 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | PY7214 |
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Definition: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 332357411A | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Holly M. Antal by the Centers for Medicare & Medicaid Services?
The Holly M. Antal has been assigned the NPI (National Provider Identifier) 1336150853 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 location address where Holly M. Antal's facilities are situated?
The facilities of Holly M. Antal are physically located at the following address: 807 Childrens Way, Jacksonville, FL, 322078426.
What is Holly M. Antal's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Holly M. Antal is Clinical Child & Adolescent, and the taxonomy classification code that categorizes this area of expertise is 103Tc2200X.
When did the Holly M. Antal receive its 1336150853?
The Holly M. Antal was issued its 1336150853 on 2006-08-10, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Holly M. Antal most recently updated or revised?
The information pertaining to Holly M. Antal, including its address, specialty, and other relevant details, was last updated or revised on 2011-09-02.
NPI Number: 1598760647
Address: 4631 N Congress Ave Ste 101, West Palm Beach, FL