Individual provider · Type 1 NPI

Alicia Elisa Ayala Laconich, PH.D IN PSYCHOLOGY

Clinical Neuropsychologist · Jacksonville, FL

NPI number 1376138495 Active

Practice location

12574 Flagler Center Blvd, Ste 101
Jacksonville, FL 32258-2615

Call (904) 374-4276 Map

Fax (888) 495-1508

Mailing address

12574 Flagler Center Blvd Ste 101
Jacksonville, FL 32258-2615

Other practice locations

  • 1301 Palm Ave Ste 4A017, Jacksonville, FL 32207-8432 · (904) 376-3800

Specialties and licenses

TaxonomyCodeLicense
Clinical Neuropsychologist Primary 103G00000XPY10781 (FL)
Clinical Psychologist 103TC0700XPY10781 (FL)

Clinical Neuropsychologist: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

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About NPI 1376138495

Alicia Elisa Ayala Laconich, PH.D IN PSYCHOLOGY's National Provider Identifier is 1376138495, issued on Mar 2, 2021. The primary taxonomy on file is Clinical Neuropsychologist (103G00000X), and the practice location is in Jacksonville, FL. The record was last updated on Sep 10, 2025.