Individual
DR. JOSEPH WM NUSSBAUMER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
627 S MAIN AVE, GROVELAND, FL 34736-2731
(352) 429-5600
(352) 429-1206
Mailing address
627 S MAIN AVE, GROVELAND, FL 34736-2731
(352) 429-5600
(352) 429-1206
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
CPY0003010493-FACCT
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
034015
VALUE OPTIONS
—
Enumeration date
08/14/2007
Last updated
08/14/2007
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