MEDICARE: PSYCHOLOGICAL RESOURCE CENTERS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	PSY8495	CA

General Provider Information

NPI Number	:	1205100393
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PSYCHOLOGICAL RESOURCE CENTERS, INC.

Provider Business Mailing Address
First Line	:	45630 MOUNTAIN VIEW AVE
Second Line	:
City	:	PALM DESERT
State	:	CA
Zip	:	92260-4855
Country	:	US
Telephone Number	:	760-534-2948
Fax Number	:	717-233-1067

Provider Business Practice Location Address
First Line	:	45630 MOUNTAIN VIEW AVE
Second Line	:
City	:	PALM DESERT
State	:	CA
Zip	:	92260-4855
Country	:	US
Telephone Number	:	760-534-2948
Fax Number	:	717-233-1067

Authorized Official
Title or Position	:	SOLE PROPRIETOR
Name	:	DR. HUGH GORDON BLOUNT
Credential	:	PH.D.
Telephone Number	:	760-534-2948

Provider Enumeration Date	:	03/07/2012
Last Update Date	:	03/17/2026

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