Elizabeth Marie Blair in Glendale - Psychologist

Elizabeth Marie Blair - NPI 1730107228

Elizabeth Marie Blair is a Psychologist in Glendale, Wisconsin. Elizabeth Marie Blair practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Elizabeth Marie Blair is 1730107228. The last update date is 2016-11-03.

Elizabeth Marie Blair's current location address is 5900 N Port Washington Rd, Glendale, Wisconsin. You can contact this provider via phone number 4149624048 and fax number 4149624052. The mailing address for Elizabeth Marie Blair is 5900 N Port Washington Rd, Glendale, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Elizabeth Marie Blair
Address 5900 N Port Washington Rd, Glendale, Wisconsin
Phone Number 4149624048
Fax Number 4149624052
Sole Proprietor N
Credentials PSYD

NPI Number Detail

NPI Number 1730107228
Provider Enumeration Date 2006-07-17
Last Updated Date 2016-11-03

Provider Mailing Address Detail

Address 5900 N Port Washington Rd
City Glendale
State Wisconsin (WI)
Post Code 53217
Phone Number 4149624048
Fax Number 4149624052

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No 2121057
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
39125400 WI --

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FAQs about Elizabeth Marie Blair

What is the unique identifier code issued to Elizabeth Marie Blair by the Centers for Medicare & Medicaid Services (CMS)?

The Elizabeth Marie Blair has been assigned the NPI (National Provider Identifier) 1730107228. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Can you provide the Elizabeth Marie Blair's physical address?

The Elizabeth Marie Blair is physically located at 5900 N Port Washington Rd, in the city of Glendale, WI, with the postal code 53217.

What is Elizabeth Marie Blair's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Elizabeth Marie Blair is Psychologist, and the corresponding taxonomy classification code for this specialized field is 103T00000X.

When did Elizabeth Marie Blair receive its 1730107228 assignment?

The Elizabeth Marie Blair was assigned its 1730107228 on 2006-07-17, which is the date when this unique identifier was issued to the organization.

When was the information regarding Elizabeth Marie Blair most recently updated?

The details pertaining to the Elizabeth Marie Blair, including its address, specialty, and other relevant information, were last refreshed on 2016-11-03.

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