Organization
WESLEY PETER BLITCHINGTON, PH.D.
Active
Organization
WESLEY PETER BLITCHINGTON, PH.D.
Active
Other names
W. Peter Blitchington, Ph.D.
Organization subpart
No
Provider details
NPI number
Authorized official
WESLEY PETER BLITCHINGTON PH.D. (PSYCHOLOGIST/OWNER)
(407) 774-0557
Entity
Organization
Contact information
Practice address
2909 W STATE ROAD 434 STE 111, LONGWOOD, FL 32779-4459
(407) 774-0557
(407) 774-9329
Mailing address
2909 W STATE ROAD 434 STE 111, LONGWOOD, FL 32779-4459
(407) 774-0557
(407) 774-9329
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PY3223
FL
103TB0200X
Cognitive & Behavioral Psychologist
Primary
PY3223
FL
103TC0700X
Clinical Psychologist
PY3223
FL
103TC1900X
Counseling Psychologist
PY3223
FL
103TF0000X
Family Psychologist
PY3223
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
053110
VALUE OPTIONS
FL
01
—
6126818
UNITED BEHAVIORAL HEALTH
FL
01
—
63893
CIGNA
FL
01
—
75237
FLORIDA BLUE
FL
Enumeration date
06/24/2014
Last updated
06/24/2014
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