Individual provider · Type 1 NPI

Stephanie Backof Holmes Kinnare, PSYCHOLOGIST

Psychologist · Jacksonville, FL

NPI number 1841637428 Active

Practice location

12724 Gran Bay Pkwy W Ste 410
Jacksonville, FL 32258-9486

Call (904) 574-5200 Map

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XPY8730 (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…

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About NPI 1841637428

Stephanie Backof Holmes Kinnare, PSYCHOLOGIST's National Provider Identifier is 1841637428, issued on May 23, 2013. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Jacksonville, FL. The record was last updated on Sep 30, 2025.