| Stephanie Kinnare Phd Llc | |
|
12724 Gran Bay Pkwy W Ste 410 Jacksonville FL 32258-9486 | |
| (904) 574-5200 | |
| Not Available |
| Full Name | Stephanie Kinnare Phd Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 12724 Gran Bay Pkwy W Ste 410, Jacksonville, Florida |
| Authorized Official Name and Position | Stephanie Kinnare (CEO) |
| Authorized Official Contact | 5749045200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Kinnare Phd Llc 12724 Gran Bay Pkwy W Ste 410 Jacksonville FL 32258-9486 Ph: (904) 574-5200 | Stephanie Kinnare Phd Llc 12724 Gran Bay Pkwy W Ste 410 Jacksonville FL 32258-9486 Ph: (904) 574-5200 |
| NPI Number | 1861280745 |
|---|---|
| Provider Enumeration Date | 04/29/2025 |
| Last Update Date | 04/29/2025 |
| Certification Date | 04/29/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861280745 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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