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Northwest Florida Psychological Services, P.A.

Psychologist in Mary Esther, FL. Organization (NPI-2).

NPI number1881908689
StatusActive
Last updated in NPPESOct 23, 2015

Details

NPI
1881908689
Entity type
Organization (NPI-2)
Legal business name
Northwest Florida Psychological Services, P.A.
Organization subpart
No
Enumeration date
Aug 4, 2010
Last updated
Oct 23, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103T00000X PsychologistPY0007168FLYes

Practice location

151 Mary Esther Blvd
Ste 308a
Mary Esther, FL 32569-1972

Phone 850-226-7322 · Fax 850-226-7491

Mailing address

519 Boulder St
Crestview, FL 32536-2251

Phone 850-226-7322 · Fax 850-226-7491

Authorized official

Julie Harper
Licensed Psychologist
8502267322

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