Organization
JAMES NOVEMBER PHD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES NOVEMBER PHD (OWNER)
(904) 421-2119
Entity
Organization
Contact information
Practice address
943 CESERY BLVD, JACKSONVILLE, FL 32211-5635
(904) 745-3111
Mailing address
PO BOX 11729, JACKSONVILLE, FL 32239-1729
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY2480
FL
Other
Enumeration date
11/18/2011
Last updated
11/18/2011
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