Organization
CENTER FOR PSYCHOLOGICAL SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH ROCKY D'AMATO PH.D. (PRESIDENT)
(904) 269-6677
Entity
Organization
Contact information
Practice address
4256 WICKS BRANCH RD, SAINT AUGUSTINE, FL 32086-5568
(904) 269-6677
(904) 269-6677
Mailing address
PO BOX 1556, ORANGE PARK, FL 32067-1556
(904) 269-6677
(904) 269-6677
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY3352
FL
Other
Enumeration date
11/13/2007
Last updated
12/15/2010
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