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

Individual provider Psychologist · NPI 1336387166

Elliott B Rosenbaum, PSYDPA is a Psychologist in Jacksonville, Florida. Practices as a sole proprietor. Registered with an NPI since 2009.

In the registry since
2009
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Practice location Address checks out

4465 Baymeadows Rd
Jacksonville, FL 32217-4732
Phone: (904) 252-7979
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X

Record details

NPI number1336387166
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYDPA
Sole proprietorYes
NPI enumeratedFebruary 2, 2009
Last updated in NPPESMay 26, 2011

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