Healthcare Provider Details

I. General information

NPI: 1205100393
Provider Name (Legal Business Name): PSYCHOLOGICAL RESOURCE CENTERS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2012
Last Update Date: 03/17/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45630 MOUNTAIN VIEW AVE
PALM DESERT CA
92260-4855
US

IV. Provider business mailing address

45630 MOUNTAIN VIEW AVE
PALM DESERT CA
92260-4855
US

V. Phone/Fax

Practice location:
  • Phone: 760-534-2948
  • Fax: 717-233-1067
Mailing address:
  • Phone: 760-534-2948
  • Fax: 717-233-1067

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPSY8495
License Number StateCA

VIII. Authorized Official

Name: DR. HUGH GORDON BLOUNT
Title or Position: SOLE PROPRIETOR
Credential: PH.D.
Phone: 760-534-2948