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Individual

DR. PASHIA D GROOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
890 SOUTH PALAFOX STREET, SUITE 300, PENSACOLA, FL 32502
(850) 433-1656
(850) 433-1996
Mailing address
890 SOUTH PALAFOX STREET, SUITE 300, PENSACOLA, FL 32502
(850) 433-1656
(850) 433-1996

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1163
AL
103TC0700X
Clinical Psychologist
Primary
PY6255
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
54616
BCBS OF FL NUMBER
FL
Enumeration date
10/02/2006
Last updated
06/25/2013
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