| Clinical & Health Psychology | |
|
6545 Bowden Rd Jacksonville FL 32216-6149 | |
| (904) 448-0079 | |
| (904) 636-9661 |
| Full Name | Clinical & Health Psychology |
|---|---|
| Speciality | Psychologist |
| Location | 6545 Bowden Rd, Jacksonville, Florida |
| Authorized Official Name and Position | Frank G. Stanley (CEO/PSYCHOLOGIST) |
| Authorized Official Contact | 9044480079 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinical & Health Psychology 6545 Bowden Rd Jacksonville FL 32216-6149 Ph: (904) 448-0079 | Clinical & Health Psychology 6545 Bowden Rd Jacksonville FL 32216-6149 Ph: (904) 448-0079 |
| NPI Number | 1407420672 |
|---|---|
| Provider Enumeration Date | 05/13/2021 |
| Last Update Date | 05/13/2021 |
| Certification Date | 05/13/2021 |
| Medicare PECOS PAC ID | 9931299161 |
|---|---|
| Medicare Enrollment ID | O20071212000201 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407420672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Frank G Stanley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497799696 PECOS PAC ID: 9739073453 Enrollment ID: I20071207000093 |
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