Individual
DR. STEPHEN M GEDO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
NAVAL HOSPITAL JACKSONVILLE 2080 CHILD STREET, JACKSONVILLE, FL 32214-0995
(321) 591-7697
Mailing address
NAVAL HOSPITAL JACKSONVILLE 2080 CHILD STREET, JACKSONVILLE, FL 32214-0001
(321) 591-7697
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
2486
NC
103T00000X
Psychologist
712
SC
103T00000X
Psychologist
Primary
PY11139
FL
103TC0700X
Clinical Psychologist
PY11139
FL
Other
Enumeration date
03/13/2007
Last updated
08/20/2024
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