| Blue Sky Psychological Services, Pa | |
|
2459 Ixora Ave Sarasota FL 34234-7328 | |
| (941) 544-5235 | |
| Not Available |
| Full Name | Blue Sky Psychological Services, Pa |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2459 Ixora Ave, Sarasota, Florida |
| Authorized Official Name and Position | Lynn Sky Manning (OWNER) |
| Authorized Official Contact | 7182686600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Sky Psychological Services, Pa Po Box 750834 Forest Hills NY 11375-0834 Ph: (718) 268-6600 | Blue Sky Psychological Services, Pa 2459 Ixora Ave Sarasota FL 34234-7328 Ph: (941) 544-5235 |
| NPI Number | 1619362654 |
|---|---|
| Provider Enumeration Date | 04/06/2015 |
| Last Update Date | 04/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619362654 | NPI | - | NPPES |
| PY6161 | Other | FL | PROFESSIONAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY6161 (Florida) | Primary |
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