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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. ALICIA ELISA AYALA LACONICH, PH.D IN PSYCHOLOGY

Active

DR. ALICIA ELISA AYALA LACONICH, PH.D IN PSYCHOLOGY is a Clinical Neuropsychologist healthcare provider located in JACKSONVILLE, Florida. NPI 1376138495 is currently active in the NPPES registry. Verify at CMS.

Clinical Neuropsychologist · JACKSONVILLE, FL

Registration Details

NPI Number
1376138495
Provider Type
Individual
Gender
Female
NPI Issued
Mar 2, 2021 (5.4823670571083 yrs)
Last Updated
Sep 10, 2025
Licenses
PY10781 (FL)
PY10781 (FL)

Practice Information

Address
12574 FLAGLER CENTER BLVD
STE 101
JACKSONVILLE, FL, 322582615
Browse FL providers · Browse ZIP 32258
Phone
9043744276
Fax
8884951508
Primary Specialty
Clinical Neuropsychologist
103G00000X
Additional Specialty
Clinical Psychologist

Other Clinical Neuropsychologist Providers in JACKSONVILLE, FL

Name Credential NPI
DR. RANDI MOST PH.D. 1255331237
ANDREW J RUFFETT PHD 1902880537
DR. NICOLE VARELAS NINESLING PSY.D. 1720020423
DR. ELIZABETH TANNAHILL GLEN KEYMER PSYD 1336256353
DR. SUSAN NILETTE YOUNG PSY. D. 1215039656
SARI NEWMAN BERNSTEIN PHD PA PHD PA 1699832832
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.