JAQUELYN LISS RESNICK


Address: 700 Sw 29th Pl, Gainesville, FL 32601-9010
Phone: 3523921575

JAQUELYN LISS RESNICK (NPI# 1336354091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336354091
Entity Type Individual
Full Name JAQUELYN LISS RESNICK
Credential PHD
Practice Address 700 Sw 29th Pl
Gainesville
FL 32601-9010
Practice Telephone 3523921575
Practice Fax Number 3523928452
Mailing Telephone 3523788223
Mailing Fax Number 3523928453
Enumeration Date 2007-05-14
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC1900X Psychologist
Specialization: Counseling
PY002780 FL Behavioral Health & Social Service Providers

Office Location

Street Address 700 SW 29TH PL
City GAINESVILLE
State FL
Zip Code 32601-9010

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Taxonomy Information

Taxonomy Code 103TC1900X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Counseling

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528622941 Amanda Celeste Alexander Psychologist 111 Se 1st Ave, Gainesville, FL 32601-9912 2019-05-01
1205075173 Shari Ann Robinson Psychologist 7409 Sw 87th Ter, Gainesville, FL 32608-8761 2009-02-16
1831388750 Paul G. Schauble Sr. Psychologist 3950 Nw 38th Pl, Gainesville, FL 32606-6164 2007-10-16
1235353947 Chun Chung Choi Psychologist 301 Peabody Hall, Gainesville, FL 32611-4100 2007-04-12
1831688993 Julie Barritt Psychologist 1601 Sw Archer Rd, Gainesville, FL 32608-1135 2018-05-04
1124523204 Donna Labarge Psychologist 1208 Nw 6th St, Gainesville, FL 32601-4245 2018-03-29
1346772829 Jocelyn A. Lee, Phd Psychologist 2653 Sw 87th Dr Ste A, Gainesville, FL 32608-9382 2017-04-03
1962940452 Nancy C. Coleman, Ph.d. Psychologist 7328 W University Ave, Suite B, Gainesville, FL 32607-1695 2017-02-06
1386189314 Charles R. Martin, Ph.d., LLC Psychologist 2631 Nw 41st St, E-6, Gainesville, FL 32606-7470 2016-12-29
1730563735 Jennifer Stuart Psychologist 3190 Radio Rd, Gainesville, FL 32611-2662 2015-07-20
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Competitor

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City GAINESVILLE
Zip Code 32601

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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