Individual provider · Type 1 NPI

Minor Chamblin, PhD

Psychologist · Orange Park, FL

NPI number 1124175815 Active

Practice location

1543 Kingsley Ave, Suite 18A
Orange Park, FL 32073-4535

Fax (904) 264-2302

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XPY 3646 (FL)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1124175815

Minor Chamblin, PhD's National Provider Identifier is 1124175815, issued on Jan 4, 2007. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Orange Park, FL. The record was last updated on Dec 17, 2019.