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Contact Information

THEODORE A LOMBARDO, PSY.D.
3750 SAN JOSE PL
ONE SAN JOSE COMPLEX, SUITE 35
JACKSONVILLE, FL32257-8858
 Phone: 904-886-9006
 Fax: 904-886-4060
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

School

103TS0200X 62 Psychologist, Clinical
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for THEODORE A LOMBARDO · (Male)

NPI # 1629192570
Status Active
Credentials PSY.D. (Doctor of Psychology)
Entity Individual
Enumeration date 03/18/2007
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Yes
Identifiers
  • FL License # PY5167
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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