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JAMES RICHARDSON BOONE PH D

>> Clinical Neuropsychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1912114356

Individual Registrant:
 JAMES RICHARDSON BOONE PH D
Gender: M
Not Sole Proprietor

Location and contact information for practice:
2625 KEYSTONE RD SUITE A-3 TARPON SPRINGS, FL 34688-7436 US
Tel: 727-944-4600  Fax: 727-945-9800

Contact information for business:
2625 KEYSTONE RD SUITE A-3 TARPON SPRINGS, FL 34688-7436 US
Tel: 727-944-4600  Fax: 727-945-9800

Registration Information:
NPI: 1912114356
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
FLPY04361
Y103T00000XBehavioral Health & Social Service Providers
Psychologist
FLPY04361

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS FL - Page 1



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