Healthcare Provider Details

I. General information

NPI: 1356417299
Provider Name (Legal Business Name): VOLLAND & ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/24/2006
Last Update Date: 05/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9951 ATLANTIC BLVD 100B
JACKSONVILLE FL
32225-6584
US

IV. Provider business mailing address

9951 ATLANTIC BLVD 100B
JACKSONVILLE FL
32225-6584
US

V. Phone/Fax

Practice location:
  • Phone: 904-727-7778
  • Fax: 904-727-3921
Mailing address:
  • Phone: 904-727-7778
  • Fax: 904-727-3921

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License Number
License Number State

VIII. Authorized Official

Name: KATHY SIMONSON
Title or Position: MANAGER
Credential:
Phone: 904-727-7778