Individual
VAUGHN EVERETT BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1833 BOULEVARD, JACKSONVILLE, FL 32206-4382
(904) 383-1038
Mailing address
1833 BOULEVARD, JACKSONVILLE, FL 32206-4382
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY11265
FL
Other
Enumeration date
09/28/2021
Last updated
09/28/2021
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