Individual
DR. JACQUELINE B PEPPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1515 N UNIVERSITY DR, SUITE 202, CORAL SPRINGS, FL 33071-6096
(954) 345-2292
(954) 341-8101
Mailing address
1515 N UNIVERSITY DR, STE 203, CORAL SPRINGS, FL 33071-8919
(954) 345-2292
(954) 341-8101
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY6102
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54571
BC BS NUMBER
FL
Enumeration date
02/05/2007
Last updated
09/13/2016
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