Individual
DR. JACKIE L. AYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
SHCC, 1 FLETCHER DRIVE, GAINESVILLE, FL 32611-7500
(352) 392-1171
(352) 846-1030
Mailing address
5021 NW 62ND ST, GAINESVILLE, FL 32653-4075
(352) 373-9395
(352) 846-1030
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY 3981
FL
Other
Enumeration date
04/20/2006
Last updated
07/08/2007
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