Organization
STEPHANIE KINNARE PHD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE KINNARE PHD (CEO)
(574) 904-5200
Entity
Organization
Contact information
Practice address
12724 GRAN BAY PKWY W STE 410, JACKSONVILLE, FL 32258-9486
(904) 574-5200
Mailing address
12724 GRAN BAY PKWY W STE 410, JACKSONVILLE, FL 32258-9486
(904) 574-5200
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
04/29/2025
Last updated
04/29/2025
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