OrganizationActive
325 Mdg
NPI 1568436962 · Psychologist · Tyndall Afb, FL
Provider details
- NPI number
- 1568436962
- Entity type
- Organization
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Authorized official
- George Nicholas, 325 Mdg Commander
- License
- PY5848 (FL)
Practice location
325 Mdg Bldg
1305 Suwannee Ave
Tyndall Afb, FL 32403
Phone: (850) 283-7511
Fax: (850) 283-7721
Mailing address
2405 Maple Ct
Panama City, FL 32404-3047
Registry dates
- Enumerated
- 2006-02-14
- Last updated
- 2008-06-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.