Organization
WILLIAM L ROSS
Active
Other names
Amelia Psychological Services
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM L ROSS PH.D. (BUSINESS OWNER)
(904) 277-2052
Entity
Organization
Contact information
Practice address
1405 PARK AVE, SUITE 202, FERNANDINA BEACH, FL 32034-1950
(904) 277-2052
(904) 277-2083
Mailing address
1405 PARK AVE, SUITE 202, FERNANDINA BEACH, FL 32034-1950
(904) 277-2052
(904) 277-2083
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH6579
FL
103T00000X
Psychologist
PY2557
FL
103T00000X
Psychologist
PY4456
FL
1041C0700X
Clinical Social Worker
SW6913
FL
106H00000X
Marriage & Family Therapist
Primary
PY2557
FL
Other
Enumeration date
04/27/2007
Last updated
06/12/2008
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