NPI 1013161223

Mielke Group, INC.

Organisation Clinical Neuropsychologist Jacksonville, FL

Practice location

Address: 3 Shircliff Way Suite #333, Jacksonville, FL 32204-4757
Phone: (904) 607-2079
Fax: (904) 384-0094
Mailing address: 7177 Augusta Dr, Fleming Island, FL 32003-8755

Authorised official

Name: Jeannine B. Mielke
Title: Owner
Phone: (904) 607-2079

Registered specialties

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence PY6839 (FL)

Other Clinical Neuropsychologist providers in Florida →

Registry record

NPI: 1013161223
Entity type: Organization
NPI issued: 14 Nov 2008
Record last updated: 17 Aug 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.