Colette Marie Blain in San Jose - Clinical
Colette Marie Blain - NPI 1639335177
Colette Marie Blain is a Clinical in San Jose, California. Colette Marie Blain practices all healthcare services and medical treatments related to Clinical. The NPI Number for Colette Marie Blain is 1639335177. The last update date is 2012-08-29.
Colette Marie Blain's current location address is 1210 South Bascom Avenue, San Jose, California. You can contact this provider via phone number 4087060476. The mailing address for Colette Marie Blain is 1210 South Bascom Avenue, San Jose, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Colette Marie Blain |
|---|---|
| Address | 1210 South Bascom Avenue, San Jose, California |
| Phone Number | 4087060476 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSYD |
NPI Number Detail
| NPI Number | 1639335177 |
|---|---|
| Provider Enumeration Date | 2008-08-04 |
| Last Updated Date | 2012-08-29 |
Provider Mailing Address Detail
| Address | 1210 South Bascom Avenue |
|---|---|
| City | San Jose |
| State | California (CA) |
| Post Code | 95128 |
| Phone Number | 4087060476 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 21649 |
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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 identifier code assigned to Colette Marie Blain by the Centers for Medicare & Medicaid Services?
The Colette Marie Blain has been issued the NPI (National Provider Identifier) 1639335177 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Colette Marie Blain's physical address?
The Colette Marie Blain is physically located at 1210 South Bascom Avenue, in the city of San Jose, CA, with the postal code 95128.
What is the area of specialization for Colette Marie Blain, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Colette Marie Blain is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
On what date did Colette Marie Blain receive its 1639335177 assignment from the Centers for Medicare & Medicaid Services?
The Colette Marie Blain was assigned its 1639335177 on 2008-08-04, 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 Colette Marie Blain's details last updated?
The information pertaining to the Colette Marie Blain, including its address, specialty, and other details, was most recently updated on 2012-08-29.
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