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Contact Information

ADELINE LEON
836 PRUDENTIAL DR STE 1506
JACKSONVILLE, FL32207-8342
 Phone: 904-376-3800
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Neuropsychologist

103G00000X
 

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for ADELINE LEON · (Female)

NPI # 1477103539
Status Active
Credentials
Entity Individual
Enumeration date 09/19/2019
Last updated 02/09/2026 - About 4 months ago
Sole proprietor 1 Yes
Identifiers
  • FL License # PY10602
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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