DR. John Travis Blaze, PH.D.
NPI #1144562695 in Gulf Breeze, Florida
Provider Information
- NPI Number
- 1144562695
- Entity Type
- Individual
- Name
- DR. John Travis Blaze, PH.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychologist
- Credential
- PH.D.
- Enumeration Date
- Mar 22, 2013
- Last Updated
- Aug 18, 2023
Practice Location
- Address
- 5396 LONGHORN TRL
- City
- Gulf Breeze
- State
- Florida
- ZIP Code
- 32563-9353
- Phone
- (850) 270-7773
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist |
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