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Organization

CLINICAL & HEALTH PSYCHOLOGY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FRANK G. STANLEY PHD (CEO/PSYCHOLOGIST)
(904) 448-0079
Entity
Organization

Contact information

Practice address
6545 BOWDEN RD, JACKSONVILLE, FL 32216-6149
(904) 448-0079
(904) 636-9661
Mailing address
6545 BOWDEN RD, JACKSONVILLE, FL 32216-6149
(904) 448-0079
(904) 636-9661

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary

Other

Enumeration date
05/13/2021
Last updated
05/13/2021
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