# WILLIAM L ROSS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Amelia Psychological Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083834246
- **Authorized official:** WILLIAM L ROSS PH.D. (BUSINESS OWNER)
- **Authorized official phone:** (904) 277-2052

## Contact information

- **Practice address:** 1405 PARK AVE, SUITE 202, FERNANDINA BEACH, FL 32034-1950
- **Practice address phone:** (904) 277-2052
- **Practice address fax:** (904) 277-2083
- **Mailing address:** 1405 PARK AVE, SUITE 202, FERNANDINA BEACH, FL 32034-1950
- **Mailing address phone:** (904) 277-2052
- **Mailing address fax:** (904) 277-2083

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | MH6579 | FL | — |
| 103T00000X | Psychologist | PY2557 | FL | — |
| 103T00000X | Psychologist | PY4456 | FL | — |
| 1041C0700X | Clinical Social Worker | SW6913 | FL | — |
| 106H00000X | Marriage & Family Therapist | PY2557 | FL | Yes |

## Other

- **Enumeration date:** 04/27/2007
- **Last updated:** 06/12/2008