Elizabeth Winton Blake in Fort Lauderdale - Psychologist

Elizabeth Winton Blake - NPI 1326107426

Elizabeth Winton Blake is a Psychologist in Fort Lauderdale, Florida. Elizabeth Winton Blake practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Elizabeth Winton Blake is 1326107426. The last update date is 2010-11-18.

Elizabeth Winton Blake's current location address is 915 Middle River Dr, Fort Lauderdale, Florida. You can contact this provider via phone number 9547636557 and fax number 9545618331. The mailing address for Elizabeth Winton Blake is 915 Middle River Dr, Fort Lauderdale, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Elizabeth Winton Blake
Address 915 Middle River Dr, Fort Lauderdale, Florida
Phone Number 9547636557
Fax Number 9545618331
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1326107426
Provider Enumeration Date 2006-12-06
Last Updated Date 2010-11-18

Provider Mailing Address Detail

Address 915 Middle River Dr
City Fort Lauderdale
State Florida (FL)
Post Code 333043559
Phone Number 9547636557
Fax Number 9545618331

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No PY4139
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
98581 FL VALUE OPTIONS
4278424 FL AETNA
299483 FL AVMED HEALTH PLANS
73460 FL BLUE CROSS BLUE SHIELD
84337 FL MANAGED HEALTH NETWORK
BLAKELIZ FL CORPHEALTH
IPO41451 FL MAGELLAN BEHAVIORAL HEALT
6110620 FL UNITED BEHAVIORAL HEALTH

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FAQs about Elizabeth Winton Blake

What is the Elizabeth Winton Blake's unique identification number?

The Elizabeth Winton Blake has been assigned the NPI (National Provider Identifier) Number 1326107426 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete physical location address of Elizabeth Winton Blake?

The Elizabeth Winton Blake is physically situated at 915 Middle River Dr, in the city of Fort Lauderdale, state of FL, with the postal code 333043559.

What is Elizabeth Winton Blake's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Elizabeth Winton Blake is Psychologist, and the taxonomy code that categorizes this field of expertise is 103T00000X.

On what date was the 1326107426 assigned to Elizabeth Winton Blake?

The Elizabeth Winton Blake was issued its 1326107426 on 2006-12-06, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Elizabeth Winton Blake's details last updated?

The information pertaining to the Elizabeth Winton Blake, including its address, specialty, and other details, was most recently updated on 2010-11-18.

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