Organization
UHS BH TELEPSYCH FL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK FRIEDLANDER MD (MEDICAL DIRECTOR)
(916) 669-1200
Entity
Organization
Contact information
Practice address
400 MARSHALL LANDING BLVD, SUITE 103, PONTE VEDRA BEACH, FL 32082
(888) 880-8443
Mailing address
PO BOX 21015, BELFAST, ME 04915-4107
(888) 880-8443
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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