| Deena S. Richman Phd Pa | |
|
2970 Hartley Rd Ste 201 Jacksonville FL 32257-6245 | |
| (904) 268-7733 | |
| (904) 292-1094 |
| Full Name | Deena S. Richman Phd Pa |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2970 Hartley Rd, Jacksonville, Florida |
| Authorized Official Name and Position | Deena S Richman (OWNER/PSYCHOLOGIST) |
| Authorized Official Contact | 9042687733 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deena S. Richman Phd Pa 2970 Hartley Rd Ste 201 Jacksonville FL 32257-6245 Ph: (904) 268-7733 | Deena S. Richman Phd Pa 2970 Hartley Rd Ste 201 Jacksonville FL 32257-6245 Ph: (904) 268-7733 |
| NPI Number | 1851678148 |
|---|---|
| Provider Enumeration Date | 11/15/2011 |
| Last Update Date | 11/20/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851678148 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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