David M Blaske in Jonesboro - Psychologist

David M Blaske - NPI 1790733947

David M Blaske is a Psychologist in Jonesboro, Arkansas. David M Blaske practices all healthcare services and medical treatments related to Psychologist. The NPI Number for David M Blaske is 1790733947. The last update date is 2009-12-03.

David M Blaske's current location address is 2707 Browns Lane, Jonesboro, Arkansas. You can contact this provider via phone number 8709724939 and fax number 8709724911. The mailing address for David M Blaske is 2707 Browns Lane, Jonesboro, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name David M Blaske
Address 2707 Browns Lane, Jonesboro, Arkansas
Phone Number 8709724939
Fax Number 8709724911
Sole Proprietor Y
Credentials PHD

NPI Number Detail

NPI Number 1790733947
Provider Enumeration Date 2006-05-04
Last Updated Date 2009-12-03

Provider Mailing Address Detail

Address 2707 Browns Lane
City Jonesboro
State Arkansas (AR)
Post Code 72401
Phone Number 8709724939
Fax Number 8709724911

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No 92-15P
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 proce

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FAQs about David M Blaske

What is the unique provider identifier assigned to David M Blaske?

The David M Blaske has been issued the NPI (National Provider Identifier) 1790733947 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of David M Blaske?

The David M Blaske is physically situated at 2707 Browns Lane, in the city of Jonesboro, state of AR, with the postal code 72401.

What is David M Blaske's specialized field of practice, and what is the corresponding taxonomy classification code?

The David M Blaske's area of specialization is Psychologist, and the corresponding taxonomy code that categorizes this field of practice is 103T00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1790733947 to David M Blaske?

The David M Blaske received its 1790733947 assignment from the Centers for Medicare & Medicaid Services on 2006-05-04.

When was the information regarding David M Blaske, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to David M Blaske, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2009-12-03.

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