| James November Phd Pa | |
|
943 Cesery Blvd Jacksonville FL 32211-5635 | |
| (904) 745-3111 | |
| Not Available |
| Full Name | James November Phd Pa |
|---|---|
| Speciality | Psychologist |
| Location | 943 Cesery Blvd, Jacksonville, Florida |
| Authorized Official Name and Position | James November (OWNER) |
| Authorized Official Contact | 9044212119 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| James November Phd Pa Po Box 11729 Jacksonville FL 32239-1729 Ph: () - | James November Phd Pa 943 Cesery Blvd Jacksonville FL 32211-5635 Ph: (904) 745-3111 |
| NPI Number | 1104193119 |
|---|---|
| Provider Enumeration Date | 11/18/2011 |
| Last Update Date | 11/18/2011 |
| Medicare PECOS PAC ID | 3274707211 |
|---|---|
| Medicare Enrollment ID | O20111201000050 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104193119 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY2480 (Florida) | Primary |
| Provider Name | James November |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336250083 PECOS PAC ID: 9739353160 Enrollment ID: I20111122000336 |
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