| NPI | 1104576214 |
|---|---|
| Doing Business As | JACKSONVILLE NEURO AND CLINICAL PSYCHOLOGY GROUP |
| Entity Type | Organization |
| Authorized Contact | KATHRIN RITTER Owner 864-630-1395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103T00000X Psychologist |
| 104100000X Social Worker | |
| Enumeration Date | 2022-03-24 |
| Last Update Date | 2022-03-24 |