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

Dr. Lourdes Portales Dale, PHD

Individual provider Psychologist · NPI 1952927600

Dr. Lourdes Portales Dale, PHD is a Psychologist in Jacksonville, Florida. Licensed in Connecticut and Florida. Registered with an NPI since 2020.

Licensed in
CT, FL
In the registry since
2020
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

580 W 8th St Fl TOWERII6
Jacksonville, FL 32209-6533
Phone: (860) 305-2908
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Child & Adolescent Psychologist (primary) Taxonomy 103TC2200X · Licence 10538 (FL)
Psychologist Taxonomy 103T00000X · Licence 002436 (CT)

Record details

NPI number1952927600
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedJune 18, 2020
Last updated in NPPESJune 18, 2020
Certification dateJune 18, 2020

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