Individual
DR. DAWN OLIVIA WITHERSPOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
6266 DUPONT STATION CT E, JACKSONVILLE, FL 32217-2567
(904) 383-1038
Mailing address
6266 DUPONT STATION COURT, JACKSONVILLE, FL 32217
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY 8828
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009650900
—
FL
Enumeration date
09/03/2013
Last updated
11/05/2013
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