Individual provider · Type 1 NPI

Antionette Jarshawn Miller-Maultsby

Health Service Psychologist · Jacksonville, FL

NPI number 1013573039 Active

Practice location

4401 Will Scarlet Rd
Jacksonville, FL 32208-1154

Specialties and licenses

TaxonomyCodeLicense
Health Service Psychologist Primary 103TH0100X103TH0100X (FL)

Health Service Psychologist: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).

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About NPI 1013573039

Antionette Jarshawn Miller-Maultsby's National Provider Identifier is 1013573039, issued on May 15, 2019. The primary taxonomy on file is Health Service Psychologist (103TH0100X), and the practice location is in Jacksonville, FL. The record was last updated on Jan 19, 2024.