Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK ARTHUR PEVERILL, PH.D.
Active Sole ProprietorJACK ARTHUR PEVERILL, PH.D. is a Child, Clinical Psychologist healthcare provider located in OSPREY, Florida. NPI 1780875906 is currently active in the NPPES registry. Verify at CMS.
Child, Clinical Psychologist · OSPREY, FL
Registration Details
- NPI Number
- 1780875906
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 5, 2007 (19.068290090586 yrs)
- Last Updated
- Aug 5, 2007
- License
-
PY 3601 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2163 SOUTH TAMIAMI TRAILOSPREY, FL, 342299696Browse FL providers · Browse ZIP 34229
- Phone
- 9419246113
- Fax
- 9419246113
- Primary Specialty
-
Child, Clinical Psychologist
103TC2200X
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.