MEDICARE: VOLLAND & ASSOCIATES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TP2701X	Group Psychotherapy Psychologist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356417299
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VOLLAND & ASSOCIATES INC

Provider Business Mailing Address
First Line	:	9951 ATLANTIC BLVD
Second Line	:	100B
City	:	JACKSONVILLE
State	:	FL
Zip	:	32225-6584
Country	:	US
Telephone Number	:	904-727-7778
Fax Number	:	904-727-3921

Provider Business Practice Location Address
First Line	:	9951 ATLANTIC BLVD
Second Line	:	100B
City	:	JACKSONVILLE
State	:	FL
Zip	:	32225-6584
Country	:	US
Telephone Number	:	904-727-7778
Fax Number	:	904-727-3921

Authorized Official
Title or Position	:	MANAGER
Name	:	KATHY SIMONSON
Credential	:
Telephone Number	:	904-727-7778

Provider Enumeration Date	:	11/24/2006
Last Update Date	:	05/14/2008

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Directions to “VOLLAND & ASSOCIATES INC ” Practice Location

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