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Antionette Jarshawn Miller-maultsby
Health Service Psychologist in Jacksonville, Florida
NPI 1013573039

Antionette Jarshawn Miller-maultsby is a Health Service Psychologist based in Jacksonville, FL and is specialized in Health Service. Antionette Jarshawn Miller-maultsby practices in Jacksonville, FL. The NPI Number for Antionette Jarshawn Miller-maultsby is 1013573039 and holds a License No. 103TH0100X (Florida).

The current practice location address for Antionette Jarshawn Miller-maultsby is 4401 Will Scarlet Rd, Jacksonville, FL and can be reached out via phone at 904-352-0066.

Location: 4401 Will Scarlet Rd, Jacksonville, FL, 32208-1154
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013573039
Provider Name
Antionette Jarshawn Miller-maultsby
Credential
Provider Entity Type
Individual
Gender
Female
Address
4401 Will Scarlet Rd, Jacksonville, FL, 32208-1154
Phone Number
904-352-0066
Fax Number
Provider Enumeration Date
05/15/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4401 Will Scarlet Rd
City
Jacksonville
State
Florida
Zip
32208-1154
Phone Number
904-352-0066
Fax Number
person
Provider Business Mailing Address Details
Address
4401 Will Scarlet Rd
City
Jacksonville
State
Florida
Zip
32208-1154
Phone Number
904-352-0066
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Health Service
Taxonomy
103TH0100X
License No.
103TH0100X (Florida)
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
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