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ANDREA L GOCKLEY PSY D NPI 1386356475


NPI Information

NPI: 1386356475
Provider Name: ANDREA L GOCKLEY PSY D
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
2322 CRESCENT RIDGE RD
DAYTONA BEACH, FL
ZIP 32118
Phone: (706) 490-0810
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ANDREA L GOCKLEY PSY D is a clinical psychologist in Daytona Beach, FL. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. ANDREA L GOCKLEY PSY D NPI is 1386356475. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2322 CRESCENT RIDGE RD
DAYTONA BEACH, FL
ZIP 32118-326
Phone: (706) 490-0810

The provider's authorized official is Andrea Gockley .
The authorized official title is President and has the following contact phone number (706) 490-0810.

The enumeration date for this NPI number is 12/20/2022 and was last updated on 12/20/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TC0700XPsychologistClinicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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