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Organization
PSYCHOLOGICAL SERVICES OF ST. AUGUSTINE
Active
Organization
PSYCHOLOGICAL SERVICES OF ST. AUGUSTINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK MERWIN PHD. (OWNER)
(904) 824-7733
Entity
Organization
Contact information
Practice address
1100 S PONCE DE LEON BLVD STE 1, ST AUGUSTINE, FL 32084-6013
(904) 824-7733
Mailing address
1100-1 SOUTH PONCE DE LEON BLVD., ST. AUGUSTINE, FL 32084
(904) 824-7733
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PY2444
FL
103TF0200X
Forensic Psychologist
PY2444
FL
Other
Enumeration date
01/12/2007
Last updated
09/11/2025
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