Lisa Ann Blevins is a Clinical in San Jose, California. Lisa Ann Blevins practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lisa Ann Blevins is 1265639678. The last update date is 2013-08-02.
Lisa Ann Blevins's current location address is 484 E San Fernando St, San Jose, California. You can contact this provider via phone number 4087947592 and fax number 4082889824. The mailing address for Lisa Ann Blevins is 484 E San Fernando St, San Jose, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Ann Blevins |
|---|---|
| Address | 484 E San Fernando St, San Jose, California |
| Phone Number | 4087947592 |
| Fax Number | 4082889824 |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1265639678 |
|---|---|
| Provider Enumeration Date | 2007-06-29 |
| Last Updated Date | 2013-08-02 |
Provider Mailing Address Detail
| Address | 484 E San Fernando St |
|---|---|
| City | San Jose |
| State | California (CA) |
| Post Code | 951123513 |
| Phone Number | 4087947592 |
| Fax Number | 4082889824 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY 14707 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 30334 | CA | SAN JOSE CITY EMPLOYEE ID |
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What is the Lisa Ann Blevins's unique identification number?
The Lisa Ann Blevins has been assigned the NPI (National Provider Identifier) Number 1265639678 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Lisa Ann Blevins located?
The Lisa Ann Blevins is located at 484 E San Fernando St, San Jose, CA 951123513.
What is Lisa Ann Blevins's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Lisa Ann Blevins is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
When did the Lisa Ann Blevins receive its 1265639678?
The Lisa Ann Blevins was issued its 1265639678 on 2007-06-29, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Lisa Ann Blevins, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Lisa Ann Blevins, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-08-02.
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