Dr Blake Bazel PHD PA
NPI #1467792697 in Orange Park, Florida
Provider Information
- NPI Number
- 1467792697
- Entity Type
- Organization
- Organization Name
- Dr Blake Bazel PHD PA
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- Feb 25, 2013
- Last Updated
- Apr 23, 2013
Practice Location
- Address
- 1677 WELLS RD
- Address 2
- SUITE A
- City
- Orange Park
- State
- Florida
- ZIP Code
- 32073-6799
- Phone
- (904) 272-0043
Authorized Official
- Name
- DR. BLAKE BAZEL, PHD
- Title
- PSYCHOLOGIST
- Phone
- (904) 272-0043
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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