Jameson Beach
Individual provider Active NPI Clinical Neuropsychologist · Pensacola, FL
NPI 1952015257 · NPPES record last updated Aug 12, 2024
Key facts
- NPI
- 1952015257
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Neuropsychologist 103G00000X
- License
- 11792 (FL)
- Practice address
- 790 Veterans Way
Pensacola, FL 32507-1000 - Phone
- (850) 912-2000
- NPI assigned
- Jan 11, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11792 | FL | MD | Clinical Neuropsychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 11792 | FL | Yes |
Addresses
Primary practice location
790 Veterans Way
Pensacola, FL 32507-1000
Mailing address
7400 Merton Minter St
San Antonio, TX 78229-4404
Other providers in Pensacola, FL
- Amanda Kage Bazo
- Bdhl1, PLLC
- Beach Cottage Counseling, LLC
- Dena Beach
- Hadley Larae Beach
- Rebecca Beach
- Beachside Medical Group LLC
- Beachside Medical Group LLC
- Beachside Medical Group LLC
- Beacon Medical LLC
All providers in Pensacola, FL · Clinical Neuropsychologist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.