Individual
DR. QUINN STEVEN BASTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2080 CHILD STREET, MENTAL HEALTH DEPT - BLDG 2034 / NH JAX, JACKSONVILLE, FL 32214
(904) 542-3473
Mailing address
2080 CHILD STREET, MENTAL HEALTH DEPT - BLDG 2034 / NH JAX, JACKSONVILLE, FL 32214
(904) 542-3473
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY7448
FL
103TA0400X
Addiction (Substance Use Disorder) Psychologist
PY7448
FL
103TC0700X
Clinical Psychologist
PY7448
FL
103TC1900X
Counseling Psychologist
PY7448
FL
103TF0000X
Family Psychologist
PY7448
FL
106H00000X
Marriage & Family Therapist
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Other
Enumeration date
01/19/2006
Last updated
10/20/2008
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