Dr. Theodore Albert Lombardo, Psy.D.
Psychologist, School in Jacksonville, FL. Individual provider (NPI-1).
NPI number1629192570
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1629192570
- Entity type
- Individual (NPI-1)
- Name
- Dr. Theodore Albert Lombardo
- Credential
- Psy.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 18, 2007
- Last updated
- Sep 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TS0200X | Psychologist, School | py5167 | FL | Yes |
| 103T00000X | Psychologist | PY5167 | FL | |
| 103TC0700X | Psychologist, Clinical | PY5167 | FL | |
| 103TC2200X | Psychologist, Clinical Child & Adolescent | py5167 | FL | |
| 103T00000X | Psychologist | py5167 | FL |
Practice location
3750 San Jose PlOne San Jose Complex, Suite 35
Jacksonville, FL 32257-8858
Phone 904-886-9006 · Fax 904-886-4060
Mailing address
3750 San Jose PlOne San Jose Complex, Suite 35
Jacksonville, FL 32257-8858
Phone 904-886-9006 · Fax 904-886-4060
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