Wesley Peter Blitchington in Longwood - Psychologist

Wesley Peter Blitchington - NPI 1063577229

Wesley Peter Blitchington is a Psychologist in Longwood, Florida. Wesley Peter Blitchington practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Wesley Peter Blitchington is 1063577229. The last update date is 2011-02-08.

Wesley Peter Blitchington's current location address is 2909 W State Road 434, Longwood, Florida. You can contact this provider via phone number 4077740557 and fax number 4077749329. The mailing address for Wesley Peter Blitchington is 2909 W State Road 434, Longwood, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Wesley Peter Blitchington
Address 2909 W State Road 434, Longwood, Florida
Phone Number 4077740557
Fax Number 4077749329
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1063577229
Provider Enumeration Date 2006-12-27
Last Updated Date 2011-02-08

Provider Mailing Address Detail

Address 2909 W State Road 434
City Longwood
State Florida (FL)
Post Code 327794459
Phone Number 4077740557
Fax Number 4077749329

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No PY3223
Definition:
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
6126818 FL UNITED BEHAVIORAL HEALTH
593016832 FL TRICARE
63893 FL CIGNA
75237 FL BCBS FL
53110 FL VALUE OPTIONS
75237 FL MEDICARE P10

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FAQs about Wesley Peter Blitchington

What is the unique 10-digit identifier code assigned to Wesley Peter Blitchington by the Centers for Medicare & Medicaid Services?

The Wesley Peter Blitchington has been issued the NPI (National Provider Identifier) 1063577229 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Wesley Peter Blitchington's facilities are situated?

The facilities of Wesley Peter Blitchington are physically located at the following address: 2909 W State Road 434, Longwood, FL, 327794459.

What is Wesley Peter Blitchington's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Wesley Peter Blitchington is Psychologist, and the taxonomy classification code that categorizes this area of expertise is 103T00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1063577229 to Wesley Peter Blitchington?

The Centers for Medicare & Medicaid Services originally issued the 1063577229 to Wesley Peter Blitchington on 2006-12-27.

When was the information pertaining to Wesley Peter Blitchington most recently updated or revised?

The details related to Wesley Peter Blitchington, including its address, specialty, and other relevant information, were last updated or revised on 2011-02-08.

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