Individual
DR. JESSE DALLERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1502 NW 6TH ST, GAINESVILLE, FL 32601-4018
(352) 332-8588
Mailing address
11124 NW 38TH LN, GAINESVILLE, FL 32606-4986
(352) 514-9262
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6438
FL
Other
Enumeration date
03/03/2009
Last updated
03/03/2009
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