Individual
DR. LARRY W. NEIDIGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
1543 KINGSLEY AVE, SUITE 18 A, ORANGE PARK, FL 32073-4535
(904) 269-3324
(904) 264-2302
Mailing address
1543 KINGSLEY AVE, SUITE 18 A, ORANGE PARK, FL 32073-4535
(904) 269-3324
(904) 264-2302
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY4090
FL
Other
Enumeration date
02/23/2006
Last updated
03/07/2019
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