Individual
JAQUELYN LISS RESNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
700 SW 29TH PL, GAINESVILLE, FL 32601-9010
(352) 392-1575
(352) 392-8452
Mailing address
700 SW 29TH PL, GAINESVILLE, FL 32601-9010
(352) 378-8223
(352) 392-8453
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PY002780
FL
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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