Most Relevant Information
Provider Data
| NPI Number: | 1003366832 |
| Provider Name: | JEREMY CUMMINGS PH.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 103T00000X |
| Specialty: | Psychologist |
| License Number: | PY 9400 |
Most Important Dates
| Enumeration Date: | 10/05/2016 |
| Last Updated: | 02/01/2024 |
Provider Practice Location
301 3RD ST NW STE 212
WINTER HAVEN
FL
338814094
Practice Location Phone/Fax
| Phone: | 8632997787 |
| Fax: | 8632997757 |
Provider Mailing Location
301 3RD ST NW STE 212
WINTER HAVEN
FL
338814094
Provider Mailing Phone/Fax
| Phone: | 8632997787 |
| Fax: | 8632997757 |