Individual
DR. JERMAINE TYRON ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1512 BLOUNTSTOWN ST, TALLAHASSEE, FL 32304-1109
(850) 299-4991
Mailing address
PO BOX 15262, TALLAHASSEE, FL 32317-5262
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY8319
FL
Other
Enumeration date
07/14/2011
Last updated
04/02/2020
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