J Nicholas Prewett PHD & Associates PA
NPI #1134276140 in Orange Park, Florida
Provider Information
- NPI Number
- 1134276140
- Entity Type
- Organization
- Organization Name
- J Nicholas Prewett PHD & Associates PA
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- Jan 4, 2007
- Last Updated
- Mar 24, 2008
Practice Location
- Address
- 1726 KINGSLEY AVE
- Address 2
- SUITE 12
- City
- Orange Park
- State
- Florida
- ZIP Code
- 32073-4463
- Phone
- (904) 269-6071
Authorized Official
- Name
- JOHANN NICHOLAS PREWETT, PH.D.
- Title
- LICENSED PSYCHOLOGIST
- Phone
- (904) 269-6071
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
| Psychologist - Clinical — Clinical |
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