Palencia-Kerr, Blanca

Palencia-Kerr, Blanca is an sole proprietor health care provider with primary practice located at 2893 Executive Park Dr Suite 122, Weston FL 33331-3666. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Palencia-Kerr, Blanca can be contacted via phone (954) 709-2701.

Contact Information

Primary practice address
2893 Executive Park Dr Suite 122 Weston FL 33331-3666
Phone: (954) 709-2701
Fax: (954) 424-1298
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY 7261 Florida

Profile Details

NPI number 1720004302
LBN Legal business name Palencia-Kerr, Blanca
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 15th, 2006
Last updated Nov 30th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720004302 NPPES
District of Columbia Other 11758059 CAQH
District of Columbia Other 75359 CAQH

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