MEDICARE: JASMYNE DUVAL PSYD PLLC

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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1053910851
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JASMYNE DUVAL PSYD PLLC

Provider Business Mailing Address
First Line	:	840 US HIGHWAY 1
Second Line	:	SUITE 340
City	:	NORTH PALM BEACH
State	:	FL
Zip	:	33408-3834
Country	:	US
Telephone Number	:	561-424-6686
Fax Number	:

Provider Business Practice Location Address
First Line	:	840 US HIGHWAY 1 STE 340
Second Line	:
City	:	NORTH PALM BEACH
State	:	FL
Zip	:	33408-3834
Country	:	US
Telephone Number	:	561-408-5017
Fax Number	:

Authorized Official
Title or Position	:	LICENSED PSYCHOLOGIST
Name	:	DR. JASMYNE A. DUVAL
Credential	:	PSYD
Telephone Number	:	561-424-6686

Provider Enumeration Date	:	10/22/2020
Last Update Date	:	11/03/2020

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