Jack Arthur Peverill, PH.D.

NPI #1780875906 in Osprey, Florida

Provider Information

NPI Number: 1780875906
Entity Type: Individual
Name: Jack Arthur Peverill, PH.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Clinical Child & Adolescent
Credential: PH.D.
Enumeration Date: Aug 5, 2007
Last Updated: Aug 5, 2007

Practice Location

Address: 2163 SOUTH TAMIAMI TRAIL
City: Osprey
State: Florida
ZIP Code: 34229-9696
Phone: (941) 924-6113

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical Child & Adolescent — Clinical Child & Adolescent	103TC2200X	Primary

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