Individual
DR. PURNIMA KUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5251 EMERSON ST, JACKSONVILLE, FL 32207-4932
(904) 399-0324
(904) 399-0420
Mailing address
4615 REED BARK LN, JACKSONVILLE, FL 32246-1876
(904) 399-0324
(904) 399-0420
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY5808
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001905500
—
FL
05
—
779231363A
—
GA
Enumeration date
02/01/2007
Last updated
11/08/2016
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