Blake Bazel, PHD
NPI #1487904744 in Orange Park, Florida
Provider Information
- NPI Number
- 1487904744
- Entity Type
- Individual
- Name
- Blake Bazel, PHD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychologist - Clinical
- Credential
- PHD
- Enumeration Date
- Sep 14, 2012
- Last Updated
- Feb 26, 2013
Practice Location
- Address
- 1677 WELLS RD
- Address 2
- SUITE A
- City
- Orange Park
- State
- Florida
- ZIP Code
- 32073-6799
- Phone
- (904) 272-0043
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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