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General NPI Number Information
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NPI Number | 1346729936
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Entity Type | Organization
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Legal Business Name | STILLWATERS PSYCHOLOGY, LLC
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Dates
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Enumeration Date | 08/14/2018
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Last Update Date | 03/11/2025
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Provider Practice Location Address
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Address Line | 12412 SAN JOSE BLVD STE 401
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City | JACKSONVILLE
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State | FL
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Zip | 32223-8620
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Country | US
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Telephone | 904-385-5938
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Fax | 904-372-6107
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Provider Business Mailing Address
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Address Line | 12412 SAN JOSE BLVD STE 401
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City | JACKSONVILLE
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State | FL
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Zip | 32223-8620
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Country | US
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Telephone | 904-385-5938
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Fax | 904-372-6107
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Authorized Official
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Title or Position | SOLE PRACTICE OWNER, CLINICAL PSYCH
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Name | DR. ALISON M SINGLETON
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Credential | PSY.D.
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Telephone | 904-385-5938
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY8528
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License Number State | FL
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