Individual
LANCE CRAIG PULVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
24 CATHEDRAL PL, SUITE 301, ST AUGUSTINE, FL 32084-4473
(904) 471-7888
(904) 471-7008
Mailing address
211 MARSHSIDE DR, ST AUGUSTINE, FL 32080-5807
(904) 471-3399
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PY0005135
FL
Other
Enumeration date
07/09/2006
Last updated
07/08/2007
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