Individual
PAULINE BECTON GREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.S, M.S.
Contact information
Practice address
1903 ISLAND WALK WAY, FERNANDINA BEACH, FL 32034-4797
(904) 277-0027
Mailing address
83296 PURPLE MARTIN DR, YULEE, FL 32097-2627
(904) 708-9427
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
08/07/2017
Last updated
08/07/2017
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