Krop-neidigh Pa

NPI 1225197544 - Psychologist - 103T00000X

NPI Details
NPI 1225197544
Enumeration Date 12/06/2006
Last Updated 05/16/2012
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LARRY LARRY
Position CLINICAL DIRECTOR
Phone (904) 269-3324
Fax (904) 264-2302
Practice Location
1543 KINGSLEY AVE
SUITE 18A
ORANGE PARK FL, 32073-4535, US
Phone (904) 269-3324
Fax (904) 264-2302
Business Location
1543 KINGSLEY AVE
SUITE 18A
ORANGE PARK FL, 32073-4535, US
Phone (904) 269-3324
Fax (904) 264-2302
Toxanomy
Taxonomy Code 103T00000X
License State Florida
License Number PY4090
Remove 1225197544 NPI Number
 

According to our database, Krop-neidigh Pa NPI is 1225197544, taxonomy code is 103T00000X and license number is PY4090, license state is located at Florida. Krop-neidigh Pa physically located at 1543 Kingsley Ave, Orange Park FL, 32073-4535. NPI Number 1033115704 has the healthcare provider type.

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1225197544 NPI number is provided on an as is basis without warranty of any kind. 1225197544 is maintained by the National Plan & Provider Enumeration System. The contents of Krop-neidigh Pa are for informational purposes only.