Andrew Joseph Blazsanyik in Great Lakes - Clinical
Andrew Joseph Blazsanyik - NPI 1972524882
Andrew Joseph Blazsanyik is a Clinical in Great Lakes, Illinois. Andrew Joseph Blazsanyik practices all healthcare services and medical treatments related to Clinical. The NPI Number for Andrew Joseph Blazsanyik is 1972524882. The last update date is 2008-05-02.
Andrew Joseph Blazsanyik's current location address is 3001a Sixth Street, Great Lakes, Illinois. You can contact this provider via phone number 8478676961. The mailing address for Andrew Joseph Blazsanyik is 3001a Sixth Street, Great Lakes, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Andrew Joseph Blazsanyik |
|---|---|
| Address | 3001a Sixth Street, Great Lakes, Illinois |
| Phone Number | 8478676961 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSYD |
NPI Number Detail
| NPI Number | 1972524882 |
|---|---|
| Provider Enumeration Date | 2006-07-23 |
| Last Updated Date | 2008-05-02 |
Provider Mailing Address Detail
| Address | 3001a Sixth Street |
|---|---|
| City | Great Lakes |
| State | Illinois (IL) |
| Post Code | 600885230 |
| Phone Number | 8478676961 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 71006897 |
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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 provider identifier assigned to Andrew Joseph Blazsanyik?
The Andrew Joseph Blazsanyik has been issued the NPI (National Provider Identifier) 1972524882 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Andrew Joseph Blazsanyik is physically located?
The Andrew Joseph Blazsanyik is situated at the following address: 3001A Sixth Street, Great Lakes, IL 600885230.
What is the Andrew Joseph Blazsanyik's specialty and taxonomy code?
The Andrew Joseph Blazsanyik's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did the Andrew Joseph Blazsanyik receive the assignment of its 1972524882 from the Centers for Medicare & Medicaid Services?
The Andrew Joseph Blazsanyik was issued its 1972524882 by the Centers for Medicare & Medicaid Services on 2006-07-23.
As of what date were the Andrew Joseph Blazsanyik's details last updated?
The information pertaining to the Andrew Joseph Blazsanyik, including its address, specialty, and other details, was most recently updated on 2008-05-02.
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