Individual
DR. JASON EUGENE PICKREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1601 SW ARCHER RD, PSYCHOLOGY DEPARTMENT 116B, GAINESVILLE, FL 32608-1135
(352) 376-1611
Mailing address
704 SW 16TH AVE, APT. 314, GAINESVILLE, FL 32601-8507
(954) 618-9908
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY7863
FL
Other
Enumeration date
04/07/2009
Last updated
04/07/2009
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