Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DAVID M BORTNICK, PHD PSYD ABN
ActiveDR. DAVID M BORTNICK, PHD PSYD ABN is a Clinical Neuropsychologist healthcare provider located in ST AUGUSTINE, Florida. NPI 1356308530 is currently active in the NPPES registry. Verify at CMS.
Clinical Neuropsychologist · ST AUGUSTINE, FL
Registration Details
- NPI Number
- 1356308530
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 30, 2006 (20.320723510326 yrs)
- Last Updated
- Jan 6, 2020
- License
-
PY2065 (FL)
Practice Information
- Address
-
1750 TREE BLVD STE 5ST AUGUSTINE, FL, 320845719Browse FL providers · Browse ZIP 32084
- Phone
- 9043420672
- Fax
- 9043420673
- Primary Specialty
-
Clinical Neuropsychologist
103G00000X
Other Clinical Neuropsychologist Providers in ST AUGUSTINE, FL
| Name | Credential | NPI |
|---|---|---|
| DR. EUGENE JOSEPH RANKIN | PH.D. | 1104870930 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.