Organization
KROP & NEIDIGH
Active
Other names
Community Behavioral Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY W NEIDIGH PH.D (CLINICAL PSYCHOLOGIST)
(904) 269-3324
Entity
Organization
Contact information
Practice address
1543 KINGSLEY AVE, SUITE 18 A, ORANGE PARK, FL 32073-4535
(904) 269-3324
(904) 264-2302
Mailing address
1543 KINGSLEY AVE, SUITE 18 A, ORANGE PARK, FL 32073-4535
(904) 269-3324
(904) 264-2302
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY4090
FL
Other
Enumeration date
02/23/2006
Last updated
08/22/2020
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