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Minor Chamblin, PHD
Psychologist in Orange Park, Florida
NPI 1124175815

Minor Chamblin is a Psychologist based in Orange Park, FL. Minor Chamblin practices in Orange Park, FL and has the professional credentials of PHD. The NPI Number for Minor Chamblin is 1124175815 and holds a License No. PY 3646 (Florida).

The current practice location address for Minor Chamblin is 1543 Kingsley Ave, Orange Park, FL and can be reached out via phone at 904-269-3324 and via fax at 904-264-2302.

Location: 1543 Kingsley Ave, Orange Park, FL, 32073-4535
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124175815
Provider Name
Minor Chamblin
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
1543 Kingsley Ave, Orange Park, FL, 32073-4535
Phone Number
904-269-3324
Fax Number
904-264-2302
Provider Enumeration Date
01/04/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
73837 01 FL BCBS
institution
Provider Business Practice Location Address Details
Address
1543 Kingsley Ave
City
Orange Park
State
Florida
Zip
32073-4535
Phone Number
904-269-3324
Fax Number
904-264-2302
person
Provider Business Mailing Address Details
Address
1543 Kingsley Ave
City
Orange Park
State
Florida
Zip
32073-4535
Phone Number
904-269-3324
Fax Number
904-264-2302
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
103T00000X
License No.
PY 3646 (Florida)
Definition
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 adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
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