Organization
CLINICAL & HEALTH PSYCHOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANK GERARD STANLEY PH.D. (CEO)
(904) 448-0079
Entity
Organization
Contact information
Practice address
6545 BOWDEN RD, JACKSONVILLE, FL 32216-6149
(904) 448-0079
(904) 636-9661
Mailing address
6545 BOWDEN RD, JACKSONVILLE, FL 32216-6149
(904) 448-0079
(904) 636-9661
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY3949
FL
Other
Enumeration date
10/05/2007
Last updated
05/18/2021
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