ALICIA AYALA LACONICH, PH.D IN PSYCHOLOGY

PH.D IN PSYCHOLOGY

Clinical Neuropsychologist

NPI: 1376138495IndividualAccepts Medicare

Specialties, Licenses & Credentials

Clinical NeuropsychologistPrimary

Clinical Neuropsychologist

Code: 103G00000X

PY10781(FL)

Clinical Psychologist

Psychologist — Clinical

Code: 103TC0700X

PY10781(FL)

CMS Specialties

PrimaryCLINICAL PSYCHOLOGIST

Education

OTHER

Class of 2015

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Contact & Hours

Address: 12574 FLAGLER CENTER BLVD, STE 101
JACKSONVILLE, FL 32258
Phone: (904) 374-4276

Locations (2)

Practice Location

12574 FLAGLER CENTER BLVD, JACKSONVILLE, FL

Practice Location

1301 PALM AVE STE 4A017, JACKSONVILLE, FL

Quick Facts

NPI: 1376138495
Entity Type: Individual
Gender: Female
Medicare: Accepted
Specialties: 2
Locations: 2
Years in Practice: 11

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