Jeannine Boyle Mielke in Jacksonville - Clinical Neuropsychologist
Jeannine Boyle Mielke - NPI 1831246131
Jeannine Boyle Mielke is a Clinical Neuropsychologist in Jacksonville, Florida. Jeannine Boyle Mielke practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Jeannine Boyle Mielke is 1831246131. The last update date is 2008-08-01.
Jeannine Boyle Mielke's current location address is 3 Shircliff Way, Jacksonville, Florida. You can contact this provider via phone number 9046072079 and fax number 9043840094. The mailing address for Jeannine Boyle Mielke is 3 Shircliff Way, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeannine Boyle Mielke |
|---|---|
| Address | 3 Shircliff Way, Jacksonville, Florida |
| Phone Number | 9046072079 |
| Fax Number | 9043840094 |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1831246131 |
|---|---|
| Provider Enumeration Date | 2007-01-05 |
| Last Updated Date | 2008-08-01 |
Provider Mailing Address Detail
| Address | 3 Shircliff Way |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322044757 |
| Phone Number | 9046072079 |
| Fax Number | 9043840094 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
| Licence No | PY0006839 |
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Definition: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 74187 | FL | BCBSF |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jeannine Boyle Mielke by the Centers for Medicare & Medicaid Services?
The Jeannine Boyle Mielke has been issued the NPI (National Provider Identifier) 1831246131, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Jeannine Boyle Mielke is physically located?
The Jeannine Boyle Mielke is physically situated at the following address: 3 Shircliff Way, Jacksonville, FL, 322044757.
What is Jeannine Boyle Mielke's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jeannine Boyle Mielke is Clinical Neuropsychologist, and the taxonomy code that categorizes this field of expertise is 103G00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1831246131 to Jeannine Boyle Mielke?
The Centers for Medicare & Medicaid Services assigned the 1831246131 to Jeannine Boyle Mielke on 2007-01-05.
When was the information regarding Jeannine Boyle Mielke most recently updated?
The details pertaining to the Jeannine Boyle Mielke, including its address, specialty, and other relevant information, were last refreshed on 2008-08-01.