ANTIONETTE JARSHAWN MILLER-MAULTSBY NPI 1013573039

NPI Information

Antionette Jarshawn Miller-maultsby is a health service psychologist in Jacksonville, FL. The provider is a psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). Antionette Jarshawn Miller-maultsby NPI is 1013573039. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4401 WILL SCARLET RD
JACKSONVILLE, FL
ZIP 32208-154
Phone: (904) 352-0066

The enumeration date for this NPI number is 5/15/2019 and was last updated on 1/19/2024.

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:

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