Ayala Laconich, Alicia Elisa

Ayala Laconich, Alicia Elisa is an individual health care provider with primary practice located at 1301 Palm Ave Ste 4A017 , Jacksonville FL 32207-8432. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Ayala Laconich, Alicia Elisa can be contacted via phone (904) 376-3800.

Contact Information

Primary practice address
1301 Palm Ave Ste 4A017 Jacksonville FL 32207-8432
Phone: (904) 376-3800
Fax: (904) 390-7395
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY10781 Florida
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PY10781 Florida

Profile Details

NPI number 1376138495
LBN Legal business name Ayala Laconich, Alicia Elisa
Credentials PH.D IN PSYCHOLOGY
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2021
Last updated Feb 8th, 2024 - about 10 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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