Individual
DR. BRIAN GERARD CELSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD.
Contact information
Practice address
4114 HERSCHEL ST STE 110, JACKSONVILLE, FL 32210-2200
(904) 210-1130
Mailing address
4114 HERSCHEL ST STE 110, JACKSONVILLE, FL 32210-2200
(904) 210-1130
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY6042
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001905600
—
FL
05
—
268322647A
—
GA
Enumeration date
02/07/2006
Last updated
05/11/2026
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