| NPI | 1447058409 |
|---|---|
| Doing Business As | BLUE HERON PSYCHOLOGY |
| Entity Type | Organization |
| Authorized Contact | LEE MCCOY SLOAN COO 561-809-2619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2025-03-05 |
| Last Update Date | 2025-03-05 |