Dr. Jacqueline Alexandra Anderson, PhD
Psychologist, Clinical in Ocala, FL. Individual provider (NPI-1).
NPI number1700064664
StatusActive
Last updated in NPPESOct 22, 2023
Details
- NPI
- 1700064664
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jacqueline Alexandra Anderson
- Credential
- PhD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 3, 2008
- Certification date
- Oct 22, 2023
- Last updated
- Oct 22, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | PY5982 | FL | Yes |
| 103T00000X | Psychologist | PY5982 | FL |
Practice location
2801 Sw College Rd Ste 3Ocala, FL 34474-4430
Phone 352-804-2875 · Fax 352-390-3868
Mailing address
Po Box 772345Ocala, FL 34477-2345
Phone 786-246-0656 · Fax 325-390-3868
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