Individual provider · Type 1 NPI

Timothy T. Wysocki, PhD

Clinical Child & Adolescent Psychologist · Jacksonville, FL

NPI number 1205847738 Active

Practice location

807 Childrens Way
Jacksonville, FL 32207-8426

Fax (904) 390-3512

Mailing address

PO Box 191, Provider Enrollment Dept
Rockland, DE 19732-0191

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist 103TC0700XPY4811 (FL)
Clinical Child & Adolescent Psychologist Primary 103TC2200XPY4811 (FL)

Clinical Child & Adolescent Psychologist: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, …

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About NPI 1205847738

Timothy T. Wysocki, PhD's National Provider Identifier is 1205847738, issued on Aug 10, 2006. The primary taxonomy on file is Clinical Child & Adolescent Psychologist (103TC2200X), and the practice location is in Jacksonville, FL. The record was last updated on Sep 2, 2011.