NPI Index

DR. QUINN BASTIAN, PH.D.

Psychologist

Active Individual
NPI: 1730169202

Practice Address

2080 CHILD STREET
MENTAL HEALTH DEPT - BLDG 2034 / NH JAX
Jacksonville, FL 32214

Phone: (904) 542-3473

Specialties

Specialty Code Primary License
Psychologist 103T00000X Yes PY7448 (FL)
Psychologist - Addiction (Substance Use Disorder) 103TA0400X No PY7448 (FL)
Psychologist - Clinical 103TC0700X No PY7448 (FL)
Psychologist - Counseling 103TC1900X No PY7448 (FL)
Psychologist - Family 103TF0000X No PY7448 (FL)
Marriage & Family Therapist 106H00000X No -

Frequently Asked Questions

NPI 1730169202 is the National Provider Identifier for DR. QUINN BASTIAN, PH.D., a Psychologist provider located in Jacksonville, FL. This NPI was enumerated on January 19, 2006.
DR. QUINN BASTIAN, PH.D. practices at 2080 CHILD STREET, MENTAL HEALTH DEPT - BLDG 2034 / NH JAX, Jacksonville, FL 32214.

Quick Facts

NPI
1730169202
Type
Individual
Enumerated
Jan 19, 2006
Last Updated
Oct 20, 2008

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