PHILIP RANDOLPH YATES

JACKSONVILLE, FL
NPI1407902745
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103T00000X Psychologist
(Licence: FL  PY0002702)
Additional Taxonomies103TC1900X Psychologist Counseling
(Licence: FL  PY0002702)
103TF0000X Psychologist Family
(Licence: FL  PY0002702)
Enumeration Date2007-01-27
Last Update Date2007-07-08
Business Address
DR. PHILIP RANDOLPH YATES PH. D.
4465 BAYMEADOWS RD STE 8
JACKSONVILLE, FL 32217-4727
Phone number: 904-731-7222
Mailing Address
DR. PHILIP RANDOLPH YATES PH. D.
4465 BAYMEADOWS RD STE 8
JACKSONVILLE, FL 32217-4727
Phone number: 904-731-7222