Mark Alan Blais is a Psychologist in Boston, Massachusetts. Mark Alan Blais practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Mark Alan Blais is 1871583047. The last update date is 2007-07-08.
Mark Alan Blais's current location address is 55 Fruit St, Boston, Massachusetts. You can contact this provider via phone number 6177249143 and fax number 6177249150. The mailing address for Mark Alan Blais is 55 Fruit St, Boston, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Alan Blais |
|---|---|
| Address | 55 Fruit St, Boston, Massachusetts |
| Phone Number | 6177249143 |
| Fax Number | 6177249150 |
| Sole Proprietor | X |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1871583047 |
|---|---|
| Provider Enumeration Date | 2005-10-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 55 Fruit St |
|---|---|
| City | Boston |
| State | Massachusetts (MA) |
| Post Code | 21142696 |
| Phone Number | 6177249143 |
| Fax Number | 6177249150 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 6201 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 522198 | MA | -- | |
| 723413 | MA | TUFTS HEALTH PLAN | |
| W05000 | MA | BCBS MA |
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What is the unique identification code assigned to Mark Alan Blais by the Centers for Medicare & Medicaid Services?
The Mark Alan Blais has been issued the NPI (National Provider Identifier) 1871583047. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Mark Alan Blais's facilities are geographically located?
The facilities of Mark Alan Blais are physically situated at the following location: 55 Fruit St, Boston, MA, 21142696.
What is the Mark Alan Blais's area of specialization and corresponding taxonomy classification?
The Mark Alan Blais's specialty field is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their specialties.
On what date did the Mark Alan Blais receive the assignment of its 1871583047 from the Centers for Medicare & Medicaid Services?
The Mark Alan Blais was issued its 1871583047 by the Centers for Medicare & Medicaid Services on 2005-10-27.
When was the information regarding Mark Alan Blais, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mark Alan Blais, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
NPI Number: 1699778829
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