Yates, Philip Randolph

Yates, Philip Randolph is an sole proprietor health care provider with primary practice located at 4465 Baymeadows Rd Ste 8 , Jacksonville FL 32217-4727. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Family. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Yates, Philip Randolph can be contacted via phone (904) 731-7222.

Contact Information

Primary practice address
4465 Baymeadows Rd Ste 8 Jacksonville FL 32217-4727
Phone: (904) 731-7222
Fax: (904) 731-7406
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY0002702 Florida
Behavioral Health & Social Service Providers / Counseling 103TC1900X PY0002702 Florida
Behavioral Health & Social Service Providers / Family 103TF0000X PY0002702 Florida

Profile Details

NPI number 1407902745
LBN Legal business name Yates, Philip Randolph
Credentials PH. D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 27th, 2007
Last updated Jul 8th, 2007 - about 17 years 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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