Individual
JERRY R. VALENTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., J.D.
Contact information
Practice address
3733 UNIVERSITY BLVD W, SUITE 208, JACKSONVILLE, FL 32217-2109
(904) 733-1865
(904) 733-1864
Mailing address
3733 UNIVERSITY BLVD W, SUITE 208, JACKSONVILLE, FL 32217-2109
(904) 733-1865
(904) 733-1864
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
887
GA
103T00000X
Psychologist
Primary
PY6919
FL
Other
Enumeration date
06/13/2008
Last updated
06/13/2008
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