IndividualActive
Holly Antal, PHD
NPI 1336150853 · Clinical Child & Adolescent Psychologist · Jacksonville, FL
Provider details
- NPI number
- 1336150853
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Female
- Sole proprietor
- No
- License
- PY7214 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
807 Childrens Way
Jacksonville, FL 32207-8426
Phone: (904) 390-3785
Fax: (904) 390-3512
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 191
Rockland, DE 19732-0191
Registry dates
- Enumerated
- 2006-08-10
- Last updated
- 2011-09-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.