Andrew Clark Blalock in Canton - Psychologist
Andrew Clark Blalock - NPI 1659415412
Andrew Clark Blalock is a Psychologist in Canton, Georgia. Andrew Clark Blalock practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Andrew Clark Blalock is 1659415412. The last update date is 2009-01-07.
Andrew Clark Blalock's current location address is 406 Long Branch Way, Canton, Georgia. You can contact this provider via phone number 4042026501 and fax number 4046514664. The mailing address for Andrew Clark Blalock is 406 Long Branch Way, Canton, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Andrew Clark Blalock |
|---|---|
| Address | 406 Long Branch Way, Canton, Georgia |
| Phone Number | 4042026501 |
| Fax Number | 4046514664 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1659415412 |
|---|---|
| Provider Enumeration Date | 2007-02-16 |
| Last Updated Date | 2009-01-07 |
Provider Mailing Address Detail
| Address | 406 Long Branch Way |
|---|---|
| City | Canton |
| State | Georgia (GA) |
| Post Code | 301154594 |
| Phone Number | 4042026501 |
| Fax Number | 4046514664 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 2482 |
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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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What is the unique 10-digit identifier code issued to Andrew Clark Blalock by the Centers for Medicare & Medicaid Services?
The Andrew Clark Blalock has been assigned the NPI (National Provider Identifier) 1659415412 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Andrew Clark Blalock is located?
The Andrew Clark Blalock is situated at the following address: 406 Long Branch Way, Canton, GA, 301154594.
What is Andrew Clark Blalock's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Andrew Clark Blalock is Psychologist, and the corresponding taxonomy classification code for this specialized field is 103T00000X.
On what date did Andrew Clark Blalock receive its 1659415412 assignment from the Centers for Medicare & Medicaid Services?
The Andrew Clark Blalock was assigned its 1659415412 on 2007-02-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Andrew Clark Blalock most recently updated?
The details pertaining to the Andrew Clark Blalock, including its address, specialty, and other relevant information, were last refreshed on 2009-01-07.