Andrew Brown King, PhD
Psychologist, Clinical in Ponte Vedra Beach, FL. Individual provider (NPI-1).
NPI number1164079554
StatusActive
Last updated in NPPESAug 5, 2022
Details
- NPI
- 1164079554
- Entity type
- Individual (NPI-1)
- Name
- Andrew Brown King
- Credential
- PhD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 21, 2019
- Certification date
- Aug 5, 2022
- Last updated
- Aug 5, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | PY9519 | FL | Yes |
Practice location
400 Colonnade Dr Ste 230Ponte Vedra Beach, FL 32081-6236
Phone 904-376-3800
Mailing address
Po Box 748519Atlanta, GA 30374-8519
Phone 904-376-3800 · Fax 904-376-3998
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