NPI Index

SOUTHEAST PSYCHOLOGICAL CONSULTING, LLC

Psychologist

Active Organization
NPI: 1710942347

Practice Address

4723B NW 53RD AVE, SUITE B
SOUTHEAST PSYCHOLOGICAL CONSULTING LLC
Gainesville, FL 32653

Phone: (352) 338-0077

Specialties

Specialty Code Primary License
Psychologist - Addiction (Substance Use Disorder) 103TA0400X No PY5139 (FL)
Psychologist - Counseling 103TC1900X No -
Psychologist - Exercise & Sports 103TE1100X No -
Psychologist - Clinical 103TC0700X No -
Psychologist - Forensic 103TF0200X No -
Psychologist 103T00000X Yes PY5139 (FL)
Psychologist - Psychoanalysis 103TP0814X No -

Frequently Asked Questions

NPI 1710942347 is the National Provider Identifier for SOUTHEAST PSYCHOLOGICAL CONSULTING, LLC, a Psychologist provider located in Gainesville, FL. This NPI was enumerated on April 18, 2006.

Quick Facts

NPI
1710942347
Type
Organization
Enumerated
Apr 18, 2006
Last Updated
Dec 1, 2010

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