Organization
KEYSTONE BY THE SEA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE FALWELL (EXECUTIVE DIRECTOR)
(904) 619-6071
Entity
Organization
Contact information
Practice address
6867 SOUTHPOINT DR N, JACKSONVILLE, FL 32216-8043
(904) 619-6071
Mailing address
6867 SOUTHPOINT DR N, JACKSONVILLE, FL 32216-8043
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
—
Other
Enumeration date
08/30/2016
Last updated
08/30/2016
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