Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. John Travis Blaze, PHD

Individual provider Psychologist · NPI 1144562695

Dr. John Travis Blaze, PHD is a Psychologist in Gulf Breeze, Florida. Licensed in Florida. Registered with an NPI since 2013.

Licensed in
FL
In the registry since
2013
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

5396 Longhorn Trl
Gulf Breeze, FL 32563-9353
Phone: (850) 270-7773
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PY9366 (FL)

Record details

NPI number1144562695
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedMarch 22, 2013
Last updated in NPPESAugust 18, 2023
Certification dateAugust 18, 2023
Mailing address5396 Longhorn Trl, Gulf Breeze, FL 32563-9353

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