Marisol Blanco

Clinical Psychologist · Wellington, FL

Individual Active NPI

NPI number 1962062521

Practice location

11120 S Crown Way Ste 1
Wellington, FL 33414-8718
Phone
(561) 790-1191

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NPI record

NPI
1962062521
Entity type
Individual (Type 1)
Enumeration date
June 17, 2019
Last updated
June 17, 2019
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Psychologist Primary 103TC0700X PY8632 FL

Mailing address

3001 S Ocean Dr
Hollywood, FL 33019-2830

About Marisol Blanco

Marisol Blanco is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Psychologist (code 103TC0700X). The practice location is 11120 S Crown Way Ste 1, Wellington, FL 33414-8718. The NPI number 1962062521 was assigned on June 17, 2019 and the record was last updated on June 17, 2019.

Marisol Blanco lists a license in the registry: #PY8632 (FL) for Clinical Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Marisol Blanco?

The NPI number is 1962062521.

What is the phone number of Marisol Blanco?

The phone number listed for the practice location is (561) 790-1191.

Where is Marisol Blanco located?

11120 S Crown Way Ste 1, Wellington, FL 33414-8718.

What is the taxonomy code for Marisol Blanco?

The primary taxonomy code is 103TC0700X – Clinical Psychologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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