Individual
DR. THEODORE ALBERT LOMBARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
3750 SAN JOSE PL, ONE SAN JOSE COMPLEX, SUITE 35, JACKSONVILLE, FL 32257-8858
(904) 886-9006
(904) 886-4060
Mailing address
3750 SAN JOSE PL, ONE SAN JOSE COMPLEX, SUITE 35, JACKSONVILLE, FL 32257-8858
(904) 886-9006
(904) 886-4060
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PY5167
FL
103TC0700X
Clinical Psychologist
PY5167
FL
103TC2200X
Clinical Child & Adolescent Psychologist
PY5167
FL
103TS0200X
School Psychologist
Primary
PY5167
FL
Other
Enumeration date
03/18/2007
Last updated
09/11/2025
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