Organization
ANDREA L GOCKLEY PSY D
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA GOCKLEY PSYD (PRESIDENT)
(706) 490-0810
Entity
Organization
Contact information
Practice address
128 ORANGE AVE, DAYTONA BEACH, FL 32114-4310
(386) 285-8978
Mailing address
128 ORANGE AVE, DAYTONA BEACH, FL 32114-4310
(386) 285-8978
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
12/20/2022
Last updated
02/06/2025
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