Individual
DR. JEFFREY LEE PRICKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D., AP
Contact information
Practice address
2180 N PARK AVE, #326, WINTER PARK, FL 32789-2359
(407) 644-3593
(407) 644-1713
Mailing address
PO BOX 697, WINTER PARK, FL 32790-0697
(407) 414-1380
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY 3938
FL
171100000X
Acupuncturist
AP 628
FL
Other
Enumeration date
04/22/2007
Last updated
03/20/2017
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