Individual
DR. ERNEST PAUL BICKNELL III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
1890 S 14TH ST, SUITE 306, FERNANDINA BEACH, FL 32034-4740
(904) 432-7833
(904) 432-7831
Mailing address
1890 S 14TH ST, SUITE 306, FERNANDINA BEACH, FL 32034-4740
(904) 432-7833
(904) 432-7831
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY4456
FL
Other
Enumeration date
11/08/2006
Last updated
07/08/2013
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