Individual
SARA CUMMINGS BERTOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
5059 ORTEGA FOREST DR, JACKSONVILLE, FL 32210-8162
(904) 780-9365
Mailing address
5059 ORTEGA FOREST DR, JACKSONVILLE, FL 32210-8162
(904) 780-9365
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY9046
FL
103TC0700X
Clinical Psychologist
PY9046
FL
Other
Enumeration date
10/08/2012
Last updated
01/28/2025
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