Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

325 Mdg

Organization Psychologist · NPI 1568436962

325 Mdg is a Psychologist in Tyndall AFB, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006

Practice location Address checks out

325 Mdg Bldg 1305 Suwannee Ave
Tyndall AFB, FL 32403
Phone: (850) 283-7511
Fax: (850) 283-7721
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PY5848 (FL)

Record details

NPI number1568436962
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official George Nicholas — 325 Mdg Commander · (850) 283-7515
NPI enumeratedFebruary 14, 2006
Last updated in NPPESJune 13, 2008
Mailing address2405 Maple Ct, Panama City, FL 32404-3047