| Robert Blackgrove, Psy.d. Llc | |
|
8305 Sw 160th St Palmetto Bay FL 33157-3642 | |
| (305) 964-5921 | |
| Not Available |
| Full Name | Robert Blackgrove, Psy.d. Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 8305 Sw 160th St, Palmetto Bay, Florida |
| Authorized Official Name and Position | Robert Blackgrove (OWNER) |
| Authorized Official Contact | 3059645921 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Blackgrove, Psy.d. Llc 8305 Sw 160th St Palmetto Bay FL 33157-3642 Ph: (305) 964-5921 | Robert Blackgrove, Psy.d. Llc 8305 Sw 160th St Palmetto Bay FL 33157-3642 Ph: (305) 964-5921 |
| NPI Number | 1801412259 |
|---|---|
| Provider Enumeration Date | 06/22/2020 |
| Last Update Date | 06/22/2020 |
| Certification Date | 06/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801412259 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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