| Organization Name: | ASSOCIATED PSYCHOLOGICAL SERVICES OF N.E. FL, INC |
| NPI Number: | 1255578571 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GEORGE N. MAIDA (OWNER) |
| Mailing Address: | 645 Mayport Road Suite 3b1 Atlantic Beach |
| State: | FL US |
| Postal Code: | 322333491 |
| Phone Number: | 9042498304 |
| Fax Number: | 9042498134 |
| NPI Enumeration Date: | 01/08/2009 |
| NPI Last Update Date: | 01/08/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC1900X |
| License Number: | PY 2887 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Counseling |
| Taxonomy Definition: | |