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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BLAKE BAZEL, PHD

Active Sole Proprietor

BLAKE BAZEL, PHD is a Clinical Psychologist healthcare provider located in ORANGE PARK, Florida. NPI 1487904744 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · ORANGE PARK, FL

Registration Details

NPI Number
1487904744
Provider Type
Individual
Gender
Male
NPI Issued
Sep 14, 2012 (13.891309561847 yrs)
Last Updated
Feb 26, 2013
License
PY8593 (FL)
Sole Proprietor
Yes

Practice Information

Address
1677 WELLS RD
SUITE A
ORANGE PARK, FL, 320736799
Browse FL providers · Browse ZIP 32073
Phone
9042720043
Primary Specialty
Clinical Psychologist
103TC0700X

Other Clinical Psychologist Providers in ORANGE PARK, FL

Name Credential NPI
DR. LARRY W. NEIDIGH PH.D 1508831322
DR. DAWN KRISTINE FOX PSYD 1982670774
DR. CATHERINE MARIA JOHNSON-FORD PH.D. 1639288434
CAROLE J CRANE PH.D., PA 1437251501
DR. ROBIN E O'HEARN PH.D. 1689779217
MS. PATRICIA ANN BOGER PH.D. 1720153240
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.