Individual
MICHELLE CHRISTY TAVERAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, PSY.D.
Contact information
Practice address
1629 RACE TRACK RD STE 102, SAINT JOHNS, FL 32259-6299
(904) 204-2433
(904) 675-0987
Mailing address
13241 BARTRAM PARK BLVD UNIT 805, JACKSONVILLE, FL 32258-5216
(904) 373-8427
(904) 675-0987
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY8925
FL
Other
Enumeration date
09/22/2011
Last updated
03/20/2025
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