Provider Demographics
NPI:1700077724
Name:DEMERY, JASON ANDREW (PHD)
Entity Type:Individual
Prefix:
First Name:JASON
Middle Name:ANDREW
Last Name:DEMERY
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8491 NW 39TH AVE
Mailing Address - Street 2:UF SPRINGHILL HEALTH CENTER
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32606-5635
Mailing Address - Country:US
Mailing Address - Phone:352-265-3284
Mailing Address - Fax:352-265-3285
Practice Address - Street 1:8491 NW 39TH AVE
Practice Address - Street 2:UF SPRINGHILL HEALTH CENTER
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32606-5635
Practice Address - Country:US
Practice Address - Phone:352-265-3284
Practice Address - Fax:352-265-3285
Is Sole Proprietor?:No
Enumeration Date:2007-08-06
Last Update Date:2011-01-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLPY7500103G00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical