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Organization

KROP-NEIDIGH PA

Active
Other names
Community Behavioral Services
Organization subpart
No

Provider details

NPI number
Authorized official
LARRY NEIDIGH (CLINICAL DIRECTOR)
(904) 269-3324
Entity
Organization

Contact information

Practice address
1543 KINGSLEY AVE, SUITE 18A, ORANGE PARK, FL 32073-4535
(904) 269-3324
(904) 264-2302
Mailing address
1543 KINGSLEY AVE, SUITE 18A, ORANGE PARK, FL 32073-4535
(904) 269-3324
(904) 264-2302

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY4090
FL

Other

Enumeration date
12/06/2006
Last updated
05/16/2012
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