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DR. BETH KEYS RUSH PH.D.

Clinical Neuropsychologist

Jacksonville, Florida

Provider NPI: 1649260498

Provider Information:
DR. BETH KEYS RUSH PH.D.
Gender: F
Not Sole Proprietor

Practice Location:
4500 SAN PABLO RD S  JACKSONVILLE, FL 32224 US
Tel: 904-953-2000  Fax: --

Business Mailing Address:
4500 SAN PABLO RD S  JACKSONVILLE, FL 32224 US
Tel: 904-953-2000  Fax: --

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
FLPY7126

Other Provider Identifiers:

IssuerNumberStateType
BLUECROSS/BLUESHIELD75043FL01
75043ZFL08
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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