Individual
DR. GEORGE DEITCHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
710 3RD ST N, JACKSONVILLE BEACH, FL 32250-7149
(904) 568-8927
(904) 241-0883
Mailing address
332 6TH ST, ATLANTIC BEACH, FL 32233-5348
(904) 568-8927
(904) 241-0883
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT 1169
FL
Other
Enumeration date
01/10/2007
Last updated
07/08/2007
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