Individual
JAMIE STORMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-4006
(352) 627-9350
Mailing address
PO BOX 100296, GAINESVILLE, FL 32610-0296
(352) 627-9350
(352) 273-9054
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PY10143
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101521200
—
FL
Enumeration date
11/19/2018
Last updated
01/25/2024
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