| Community Behavioral Services | |
|
1543 Kingsley Ave Suite 18 A Orange Park FL 32073-4535 | |
| (904) 269-3324 | |
| (904) 264-2302 |
| Full Name | Community Behavioral Services |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1543 Kingsley Ave, Orange Park, Florida |
| Authorized Official Name and Position | Larry W Neidigh (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 9042693324 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Behavioral Services 1543 Kingsley Ave Suite 18 A Orange Park FL 32073-4535 Ph: (904) 269-3324 | Community Behavioral Services 1543 Kingsley Ave Suite 18 A Orange Park FL 32073-4535 Ph: (904) 269-3324 |
| NPI Number | 1295700029 |
|---|---|
| Provider Enumeration Date | 02/23/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295700029 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY4090 (Florida) | Primary |
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