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Individual

JAMESON BEACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
790 VETERANS WAY, PENSACOLA, FL 32507-1000
(850) 912-2000
Mailing address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229-4404

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
11792
FL

Other

Enumeration date
01/11/2023
Last updated
08/12/2024
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