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Individual

SHANA BOYLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
807 CHILDRENS WAY, JACKSONVILLE, FL 32207-8426
(904) 697-3785
(302) 651-4945
Mailing address
807 CHILDRENS WAY, JACKSONVILLE, FL 32207-8426

Taxonomy

Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PY9405
FL

Other

Enumeration date
10/12/2015
Last updated
10/12/2015
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