Individual
JACLYN LINSEY FISHALOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
505 LANTERN CIR, TEMPLE TERRACE, FL 33617-3735
(407) 921-3447
Mailing address
505 LANTERN CIR, TEMPLE TERRACE, FL 33617-3735
(407) 921-3447
Taxonomy
Speciality
Code
Description
License number
State
103TH0004X
Health Psychologist
Primary
PY10746
FL
Other
Enumeration date
07/28/2020
Last updated
07/28/2020
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