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NPI 1568436962

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

More FL providers

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.

325 Mdg — NPI 1568436962, Tyndall Afb, FL | NPI Central