| Doctor Name: | MR. ROSS E MCDONOUGH |
| NPI Number: | 1255576112 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.S.W., L.C.S.W, CAP |
| License Number: | SW7446 |
| Business Practice Address: | 808 3rd St Suite A Neptune Beach, FL - 322665081 |
| Business Phone Number: | 9042405455 |
| Business Fax Number: | |
| Mailing Address: | 2500 Independence Dr, JACKSONVILLE BEACH |
| State: | FL |
| Postal Code: | 322502518 |
| Phone Number: | 9042405455 |
| Fax Number: | 9046383051 |
| NPI Enumeration Date: | 12/06/2008 |
| NPI Last Update Date: | 12/06/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | SW7446 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |