LANCE CRAIG PULVER

ST AUGUSTINE, FL
NPI1174556138
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC1900X Psychologist, Counseling
(Licence: FL  PY0005135)
Enumeration Date2006-07-09
Last Update Date2007-07-08
Business Address
-- LANCE CRAIG PULVER Ph.D.
24 CATHEDRAL PL SUITE 301
ST AUGUSTINE, FL 32084-4473
Phone number: 904-471-7888
Mailing Address
-- LANCE CRAIG PULVER Ph.D.
211 MARSHSIDE DR
ST AUGUSTINE, FL 32080-5807
Phone number: 904-471-3399