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General NPI Number Information
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NPI Number | 1619515004
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Entity Type | Organization
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Legal Business Name | PSYHEALTH INC
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Dates
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Enumeration Date | 12/16/2019
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Last Update Date | 01/30/2026
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Provider Practice Location Address
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Address Line | 10440 CYPRESS LAKES PRESERVE DR
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City | LAKE WORTH
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State | FL
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Zip | 33449-4610
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Country | US
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Telephone | 561-715-1162
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Fax | 561-634-3876
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Provider Business Mailing Address
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Address Line | 2901 CLINT MOORE RD # 1006
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City | BOCA RATON
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State | FL
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Zip | 33496-2041
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Country | US
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Telephone | 728-203-6915
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Fax | 561-634-3876
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Authorized Official
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Title or Position | OWNER/CEO
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Name | DR. PERI MICHELLE BLUM
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Credential | PSY. D.
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Telephone | 561-715-1162
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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