Individual
DR. JEFFREY WALTER REDDOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
400 ORCHID SPRINGS DR, WINTER HAVEN, FL 33884-1678
(863) 326-6419
(863) 326-5640
Mailing address
400 ORCHID SPRINGS DR, WINTER HAVEN, FL 33884-1678
(863) 326-6419
(863) 326-5640
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY5052
FL
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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