Susan W Blain is a Psychologist in St Louis, Missouri. Susan W Blain practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Susan W Blain is 1831112861. The last update date is 2007-07-08.
Susan W Blain's current location address is 6651 Chippewa, St Louis, Missouri. You can contact this provider via phone number 3146442395 and fax number 3146445917. The mailing address for Susan W Blain is 6651 Chippewa, St Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan W Blain |
|---|---|
| Address | 6651 Chippewa, St Louis, Missouri |
| Phone Number | 3146442395 |
| Fax Number | 3146445917 |
| Sole Proprietor | N |
| Credentials | PSY D |
NPI Number Detail
| NPI Number | 1831112861 |
|---|---|
| Provider Enumeration Date | 2006-07-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6651 Chippewa |
|---|---|
| City | St Louis |
| State | Missouri (MO) |
| Post Code | 631092531 |
| Phone Number | 3146442395 |
| Fax Number | 3146445917 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| S21684 | MARCY HMO | ||
| 3894 | BLUE CROSS | ||
| 6156413 | BLUE CROSS HARMONY |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Susan W Blain by the Centers for Medicare & Medicaid Services?
The Susan W Blain has been issued the NPI (National Provider Identifier) 1831112861, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Susan W Blain is physically located?
The Susan W Blain is physically situated at the following address: 6651 Chippewa, St Louis, MO, 631092531.
What is Susan W Blain's area of expertise and its corresponding taxonomy classification?
The Susan W Blain's field of specialization is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their areas of practice.
On what date did Susan W Blain receive its 1831112861 assignment from the Centers for Medicare & Medicaid Services?
The Susan W Blain was assigned its 1831112861 on 2006-07-25, 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 details pertaining to Susan W Blain last refreshed?
The information related to the Susan W Blain, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
NPI Number: 1518960137
Address: 161 Sherman Dr, St Johnsbury, VT