| Memory Doc | |
|
936 2nd Avenue S Atlantic Beach FL 32250 | |
| (904) 860-4813 | |
| (904) 490-8561 |
| Full Name | Memory Doc |
|---|---|
| Speciality | Psychologist |
| Location | 936 2nd Avenue S, Atlantic Beach, Florida |
| Authorized Official Name and Position | Tracy Alloway (PSYCHOLOGIST) |
| Authorized Official Contact | 9048604813 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Memory Doc 1015 Atlantic Blvd # 156 Atlantic Beach FL 32233-3313 Ph: (904) 860-4813 | Memory Doc 936 2nd Avenue S Atlantic Beach FL 32250 Ph: (904) 860-4813 |
| NPI Number | 1174293419 |
|---|---|
| Provider Enumeration Date | 09/17/2021 |
| Last Update Date | 01/02/2025 |
| Certification Date | 12/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174293419 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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