Organization
NEUROBEHAVIORAL SPECIALISTS OF JACKSONVILLE INC
Active
Organization
NEUROBEHAVIORAL SPECIALISTS OF JACKSONVILLE INC
Active
Other names
NBS-JAX
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE A PROSJE PSYD (OWNER)
(352) 682-0060
Entity
Organization
Contact information
Practice address
4110 SOUTHPOINT BLVD STE 212, JACKSONVILLE, FL 32216-0927
(352) 682-0060
Mailing address
4110 SOUTHPOINT BLVD STE 212, JACKSONVILLE, FL 32216-0927
(352) 682-0060
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY8710
FL
Other
Enumeration date
12/08/2014
Last updated
12/08/2014
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