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NPI Code Detail

MEDICARE: ARLINGTON PSYCHOLOGICAL CENTER

MEDICARE: ARLINGTON PSYCHOLOGICAL CENTER
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
1103T00000XPsychologist

General Provider Information

NPI Number : 1982871273
Entity Type Code : Organization
Provider Name (Legal Business Name) : ARLINGTON PSYCHOLOGICAL CENTER
Provider Business Mailing Address
First Line : 8049 ARLINGTON EXPY
Second Line : SUITE 12
City : JACKSONVILLE
State : FL
Zip : 32211-6269
Country : US
Telephone Number : 904-724-2405
Fax Number : 904-724-3173
Provider Business Practice Location Address
First Line : 8049 ARLINGTON EXPY
Second Line : SUITE 12
City : JACKSONVILLE
State : FL
Zip : 32211-6269
Country : US
Telephone Number : 904-724-2405
Fax Number : 904-724-3173
Authorized Official
Title or Position : OWNER/PSYCHOLOGIST
Name : JAMES F VALLELY
Credential :
Telephone Number : 904-724-2405
Provider Enumeration Date : 05/15/2008
Last Update Date : 05/15/2008

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Directions to “ARLINGTON PSYCHOLOGICAL CENTER ” Practice Location

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