Christopher Rackley
Clinical Psychologist Clinical Child & Adolescent Psychologist
13241 Bartram Park Blvd Unit 1901
Jacksonville
, Florida 32258-5228
Christopher Rackley
Clinical Psychologist Clinical Child & Adolescent Psychologist
13241 Bartram Park Blvd Unit 1901
Jacksonville
, Florida 32258-5228
(904) 376-3998
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About
Features
Specialties
- Clinical Psychologist
- Clinical Child & Adolescent Psychologist
Languages spoken
- English
Location
First Address
- Christopher Rackley
- Po Box 44230
- Jacksonville, FL
- Zip : 32231-4230
- Fax : (904) 376-3998
- Phone : (904) 376-3800
Second Address
- Christopher Rackley
- 13241 Bartram Park Blvd Unit 1901
- Jacksonville, FL
- Zip : 32258-5228
- Fax : (904) 396-8967
- Phone : (904) 376-3800
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | PY10506 | FL |
| Y | 103TC0700X | Clinical Psychologist | PY10506 | FL |
| N | 103G00000X | Clinical Psychologist | PY10506 | FL |
| N | 103TC0700X | Clinical Psychologist | PY10506 | FL |
| N | 103TC2200X | Clinical Child & Adolescent Psychologist | 017020 | NY |
National Provider Identifier
| NPI | 1093939498 |
|---|---|
| Provider Name | Christopher Rackley |
| First Address | Jacksonville, FL 32231-4230 |
| Second Address | Jacksonville, FL 32258-5228 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/04/2007 |
| Last Update Date | 10/01/2022 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.