Individual provider · Type 1 NPI

Olivia Marie Suddarth, PSYD

Clinical Psychologist · Jacksonville, FL

NPI number 1750006359 Active

Practice location

800 Prudential Dr
Jacksonville, FL 32207-8202

Fax (904) 390-7398

Mailing address

PO Box 748519
Atlanta, GA 30374-8519

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XPY11663 (FL)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1750006359

Olivia Marie Suddarth, PSYD's National Provider Identifier is 1750006359, issued on Oct 5, 2022. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Jacksonville, FL. The record was last updated on May 27, 2025.