Individual
SHIRLEY M KOEHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3599 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-4252
(904) 858-7655
Mailing address
3599 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-4252
(904) 858-7655
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY4621
FL
Other
Enumeration date
01/08/2008
Last updated
01/09/2008
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