| Doctor Name: | DR. JANE ELLEN ECHTERLING |
| NPI Number: | 1174734073 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | PY6778 |
| Business Practice Address: | Northeast Florida State Hospital 7487 S. State Road 121 Macclenny, FL - 32063 |
| Business Phone Number: | 9042596211 |
| Business Fax Number: | |
| Mailing Address: | 5117 Nw 27th Ave, GAINESVILLE |
| State: | FL |
| Postal Code: | 326066414 |
| Phone Number: | 3523776084 |
| Fax Number: | |
| NPI Enumeration Date: | 05/24/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PY6778 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |