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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