Individual
DR. ELIZABETH TANNAHILL GLEN KEYMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1301 PALM AVE STE 4A017, JACKSONVILLE, FL 32207-8432
(904) 376-3800
(904) 390-7395
Mailing address
PO BOX 748519, ATLANTA, GA 30374-8519
(904) 376-3800
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY6757
FL
103TC0700X
Clinical Psychologist
PY6757
FL
Other
Enumeration date
08/24/2006
Last updated
11/05/2024
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