Individual provider · Type 1 NPI

Bruce Ivan Kristol, PhD

Clinical Psychologist · Jacksonville, FL

NPI number 1922091198 Active

Practice location

2427 University Blvd W
Jacksonville, FL 32217-2001

Call (904) 738-5808 Map

Fax (904) 739-2528

Mailing address

7243 San Jose Blvd
Jacksonville, FL 32217-3425

Specialties and licenses

Taxonomy	Code	License
Clinical Psychologist Primary	103TC0700X	PY2363 (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 1922091198

Bruce Ivan Kristol, PhD's National Provider Identifier is 1922091198, issued on Aug 23, 2005. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Jacksonville, FL. The record was last updated on Oct 16, 2008.