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Contact Information

MARY LE, PSY.D.
4651 SALISBURY RD STE 400
JACKSONVILLE, FL32256-6187
 Phone: 646-941-7645
 Fax: 929-596-7897
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MARY LE · (Female)

NPI Number 1740033208
Status Active
Credentials PSY.D. (Doctor of Psychology)
Entity Individual
Enumeration date 04/05/2024
Last updated 04/05/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # PY11723
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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