Organization · Type 2 NPI
325 MDG
Psychologist · Tyndall Afb, FL
Practice location
325 Mdg Bldg, 1305 Suwannee Ave
Tyndall Afb, FL 32403
Fax (850) 283-7721
Mailing address
2405 Maple Ct
Panama City, FL 32404-3047
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist Primary | 103T00000X | PY5848 (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…
About NPI 1568436962
325 MDG's National Provider Identifier is 1568436962, issued on Feb 14, 2006. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Tyndall Afb, FL. The record was last updated on Jun 13, 2008.