Stephen L Blad is a Clinical in Fort Collins, Colorado. Stephen L Blad practices all healthcare services and medical treatments related to Clinical. The NPI Number for Stephen L Blad is 1144339821. The last update date is 2022-07-21.
Stephen L Blad's current location address is 2912 Eindborough Dr, Fort Collins, Colorado. You can contact this provider via phone number 9709886972. The mailing address for Stephen L Blad is 2912 Eindborough Dr, Fort Collins, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen L Blad |
|---|---|
| Address | 2912 Eindborough Dr, Fort Collins, Colorado |
| Phone Number | 9709886972 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1144339821 |
|---|---|
| Provider Enumeration Date | 2006-08-29 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 2912 Eindborough Dr |
|---|---|
| City | Fort Collins |
| State | Colorado (CO) |
| Post Code | 805252363 |
| Phone Number | 9709886972 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY.0003207 |
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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 |
|---|---|---|---|
| COA105768 | CO | MEDICARE PTAN | |
| 89678257 | CO | -- |
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What is the unique identification code assigned to Stephen L Blad by the Centers for Medicare & Medicaid Services?
The Stephen L Blad has been issued the NPI (National Provider Identifier) 1144339821. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Stephen L Blad located?
The Stephen L Blad is located at 2912 Eindborough Dr, Fort Collins, CO 805252363.
What is Stephen L Blad's area of expertise and its corresponding taxonomy classification?
The Stephen L Blad's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1144339821 to Stephen L Blad?
The Centers for Medicare & Medicaid Services assigned the 1144339821 to Stephen L Blad on 2006-08-29.
As of what date were the details pertaining to Stephen L Blad last refreshed?
The information related to the Stephen L Blad, including its address, specialty, and other relevant details, was last updated on 2022-07-21.
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