Individual
RUSSELL R ADDEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
3901 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-4312
(904) 858-7216
(904) 858-7255
Mailing address
11735 GLACIER BAY DR, JACKSONVILLE, FL 32256-2989
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PY5570
FL
103T00000X
Psychologist
Primary
PY5570
FL
Other
Enumeration date
07/27/2006
Last updated
03/03/2015
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