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Contact Information

GAIL M ANDERSON, PSYD ABPP
3901 UNIVERSITY BLVD S
JACKSONVILLE, FL32216-4312
 Phone: 904-345-7310
 Fax: 904-345-7240
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Health Service

103TH0100X 62 Psychologist, Clinical
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for GAIL M ANDERSON · (Female)

NPI # 1316340680
Status Active
Credentials PSYD ABPP
Entity Individual
Enumeration date 10/01/2014
Last updated 07/12/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • FL License # PY11004
  • MI License # 6301017240
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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