Individual
DR. BLANCA PALENCIA-KERR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2893 EXECUTIVE PARK DR, SUITE 122, WESTON, FL 33331-3666
(954) 709-2701
(954) 424-1298
Mailing address
2893 EXECUTIVE PARK DR 122, WESTON, FL 33331-3666
(954) 709-2701
(954) 424-1298
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY 7261
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11758059
CAQH
DC
01
—
75359
BCBS (OUT OF NETWORK)
FL
Enumeration date
07/15/2006
Last updated
11/30/2015
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