Individual
KATHRYN EKLUND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1041 JOHN SIMS PKWY E, NICEVILLE, FL 32578-2712
(850) 389-8489
Mailing address
627 CHAMOMILE CT, NICEVILLE, FL 32578-3439
(253) 666-2772
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
724
WY
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
PY12464
FL
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
Other
Enumeration date
07/12/2018
Last updated
12/30/2024
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