Ticia Ann Blanck in Grover Beach - Clinical
Ticia Ann Blanck - NPI 1699941369
Ticia Ann Blanck is a Clinical in Grover Beach, California. Ticia Ann Blanck practices all healthcare services and medical treatments related to Clinical. The NPI Number for Ticia Ann Blanck is 1699941369. The last update date is 2008-05-02.
Ticia Ann Blanck's current location address is 600 Redondo Ct, Grover Beach, California. You can contact this provider via phone number 5414907045 and fax number 8055441412. The mailing address for Ticia Ann Blanck is 600 Redondo Ct, Grover Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ticia Ann Blanck |
|---|---|
| Address | 600 Redondo Ct, Grover Beach, California |
| Phone Number | 5414907045 |
| Fax Number | 8055441412 |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1699941369 |
|---|---|
| Provider Enumeration Date | 2008-05-02 |
| Last Updated Date | 2008-05-02 |
Provider Mailing Address Detail
| Address | 600 Redondo Ct |
|---|---|
| City | Grover Beach |
| State | California (CA) |
| Post Code | 934332931 |
| Phone Number | 5414907045 |
| Fax Number | 8055441412 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PY00003284 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique 10-digit identification code assigned to Ticia Ann Blanck by the Centers for Medicare & Medicaid Services?
The Ticia Ann Blanck has been issued the NPI (National Provider Identifier) 1699941369, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Ticia Ann Blanck located?
The Ticia Ann Blanck is located at 600 Redondo Ct, Grover Beach, CA 934332931.
What is Ticia Ann Blanck's specialized field of practice, and what is the corresponding taxonomy classification code?
The Ticia Ann Blanck's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date did Ticia Ann Blanck receive its 1699941369 assignment from the Centers for Medicare & Medicaid Services?
The Ticia Ann Blanck was assigned its 1699941369 on 2008-05-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Ticia Ann Blanck last refreshed?
The information related to the Ticia Ann Blanck, including its address, specialty, and other relevant details, was last updated on 2008-05-02.