Gary A Blank is a Clinical in Santa Rosa, California. Gary A Blank practices all healthcare services and medical treatments related to Clinical. The NPI Number for Gary A Blank is 1316160906. The last update date is 2007-07-08.
Gary A Blank's current location address is 2455 Bennett Valley Rd, Santa Rosa, California. You can contact this provider via phone number 7075262525 and fax number 7075262593. The mailing address for Gary A Blank is 2455 Bennett Valley Rd, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary A Blank |
|---|---|
| Address | 2455 Bennett Valley Rd, Santa Rosa, California |
| Phone Number | 7075262525 |
| Fax Number | 7075262593 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1316160906 |
|---|---|
| Provider Enumeration Date | 2007-04-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2455 Bennett Valley Rd |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 954045663 |
| Phone Number | 7075262525 |
| Fax Number | 7075262593 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY3303 |
|
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 |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Gary A Blank by the Centers for Medicare & Medicaid Services?
The Gary A Blank has been issued the NPI (National Provider Identifier) 1316160906 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Gary A Blank is physically located?
The Gary A Blank is situated at the following address: 2455 Bennett Valley Rd, Santa Rosa, CA 954045663.
What is the Gary A Blank's area of specialization and corresponding taxonomy classification?
The Gary A Blank's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1316160906 to Gary A Blank?
The Centers for Medicare & Medicaid Services assigned the 1316160906 to Gary A Blank on 2007-04-11.
As of what date were the details pertaining to Gary A Blank last refreshed?
The information related to the Gary A Blank, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
NPI Number: 1669475885
Address: 1005 Midwestern Pkwy, Wichita Falls, TX
NPI Number: 1285637785
Address: 101 Deer Run Rd, Elgin, SC