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Dr. Jerry L. Oestmann, PHD
Psychologist in Port Orange, Florida
NPI 1790858959

Jerry L. Oestmann is a Psychologist based in Port Orange, FL. Jerry L. Oestmann practices in Port Orange, FL and has the professional credentials of PHD. The NPI Number for Jerry L. Oestmann is 1790858959 and holds a License No. 188 (Florida).

The current practice location address for Jerry L. Oestmann is 1730 Dunlawton Ave, Port Orange, FL and can be reached out via phone at 386-957-3905 and via fax at 386-402-8992.

Location: 1730 Dunlawton Ave, Port Orange, FL, 32127-8985
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790858959
Provider Name
Jerry L. Oestmann
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
1730 Dunlawton Ave, Port Orange, FL, 32127-8985
Phone Number
386-957-3905
Fax Number
386-402-8992
Provider Enumeration Date
11/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
47052851500 05 NE
47052851509 05 NE
68505B002 01 NE TRICARE
345680000 01 NE MAGELLAN MIS ADOL GT
47075636998 05 NE
80023 01 NE BLUE CROSS & BLUE SHIELD
10025208600 05 NE
81118 01 NE BCBS INDIVIDUAL PROVIDER NUMBER
10025208000 05 NE
250307 01 NE MIDLANDS INS
098935 01 NE MEDICARE FSI PTAN GROUP NUMBER
1002550710 05 NE
10025668200 05 NE
345680000 01 NE MAGELLAN MIS GT SITE
349507000 01 NE MAGELLAN MIS WOMEN'S GT
47052851502 05 NE
47052851503 05 NE
85731 01 NE BCBS
47052851581 05 NE
10025208700 05 NE
47052851504 05 NE
47075636930 05 NE
institution
Provider Business Practice Location Address Details
Address
1730 Dunlawton Ave
City
Port Orange
State
Florida
Zip
32127-8985
Phone Number
386-957-3905
Fax Number
386-402-8992
person
Provider Business Mailing Address Details
Address
1730 Dunlawton Ave
City
Port Orange
State
Florida
Zip
32127-8985
Phone Number
386-957-3905
Fax Number
386-402-8992
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
620 (Nebraska)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
396 (Nebraska)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
103T00000X
License No.
188 (Nebraska)
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
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