Blue Sky Psychological Services, Pa | |
2459 Ixora Ave Sarasota FL 34234-7328 | |
(941) 544-5235 | |
Not Available |
Full Name | Blue Sky Psychological Services, Pa |
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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 |
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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 |
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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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