Organization · Type 2 NPI

Jsa Clinical Group, Inc.

Developmental Therapist · Jacksonville, FL

NPI number 1639509359 Active

Practice location

Jsa Clinical Group, 9000 Cypress Green Drive
Jacksonville, FL 32256

Fax (904) 732-4344

Specialties and licenses

Taxonomy	Code	License
Developmental Therapist Primary	222Q00000X	None listed

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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NPI record

NPI: 1639509359
Entity type: Organization (Type 2)
Issued: Nov 15, 2013
Last updated: Aug 23, 2019
Status: Active

Other names

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Jsa Clinical Group, Inc. · doing business as
Jsa Clinical Group, Inc. · doing business as

Authorized official

Mrs. Helen Michelle Dunham
President
(904) 732-4343

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1639509359

Jsa Clinical Group, Inc.'s National Provider Identifier is 1639509359, issued on Nov 15, 2013. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Jacksonville, FL. The record was last updated on Aug 23, 2019.