Individual provider · Type 1 NPI

Ann Marie Usitalo, PhD

Psychologist · Jacksonville, FL

NPI number 1114117157 Active

Practice location

655 W 8th St, Ufjax - Pediatrics Rainbow Center
Jacksonville, FL 32209-6511

Call (904) 244-2120 Map

Fax (904) 244-5341

Mailing address

PO Box 44008, Ufjp - Provider Enrollment
Jacksonville, FL 32231-4008

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XPY7309 (FL)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1114117157

Ann Marie Usitalo, PhD's National Provider Identifier is 1114117157, issued on Jul 26, 2007. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Jacksonville, FL. The record was last updated on May 7, 2013.