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

DR. LOURDES PORTALES DALE, PHD

Active

DR. LOURDES PORTALES DALE, PHD is a Child, Clinical Psychologist healthcare provider located in JACKSONVILLE, Florida. NPI 1952927600 is currently active in the NPPES registry. Verify at CMS.

Child, Clinical Psychologist · JACKSONVILLE, FL

Registration Details

NPI Number
1952927600
Provider Type
Individual
Gender
Female
NPI Issued
Jun 18, 2020 (6.1866867599925 yrs)
Last Updated
Jun 18, 2020
Licenses
002436 (CT)
10538 (FL)

Practice Information

Address
580 W 8TH ST FL TOWERII6
JACKSONVILLE, FL, 322096533
Browse FL providers · Browse ZIP 32209
Phone
8603052908
Primary Specialty
Child, Clinical Psychologist
103TC2200X
Additional Specialty
Child, Clinical Psychologist

Other Child, Clinical Psychologist Providers in JACKSONVILLE, FL

Name Credential NPI
DR. ELIZABETH M. SCHILLING PHD 1831189760
MS. LAURIANN SANDRIK PSYD 1205895968
DR. HOLLY M. ANTAL PHD 1336150853
DR. TIMOTHY T. WYSOCKI PHD 1205847738
DR. LAURA L. BAILET PHD 1245241769
DR. PEGGY GRECO PHD 1184739161
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.