Whalio Doctors

NPI 1093939498

Christopher Thomas Rackley, PSYD

Practitioner Clinical Neuropsychologist Jacksonville, FL

Practice location

Address
13241 Bartram Park Blvd Unit 1901, Jacksonville, FL 32258-5228
Phone
(904) 376-3800
Fax
(904) 396-8967
Mailing address
PO Box 748519, Atlanta, GA 30374-8519

Registered specialties (3)

Clinical Neuropsychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence PY10506 (FL)
Clinical Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence PY10506 (FL)
Clinical Child & Adolescent Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TC2200X Licence 017020 (NY)

Registry record

NPI
1093939498
Entity type
Individual
Sex (as registered)
Male
NPI issued
13 Apr 2007
Record last updated
5 Aug 2022

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.