Cheryl Rae Blank is a Psychologist in Bozeman, Montana. Cheryl Rae Blank practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Cheryl Rae Blank is 1932221058. The last update date is 2011-01-03.
Cheryl Rae Blank's current location address is 121 W Kagy Blvd, Bozeman, Montana. You can contact this provider via phone number 4065877468 and fax number 4065874520. The mailing address for Cheryl Rae Blank is 121 W Kagy Blvd, Bozeman, Montana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Cheryl Rae Blank |
|---|---|
| Address | 121 W Kagy Blvd, Bozeman, Montana |
| Phone Number | 4065877468 |
| Fax Number | 4065874520 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1932221058 |
|---|---|
| Provider Enumeration Date | 2007-04-06 |
| Last Updated Date | 2011-01-03 |
Provider Mailing Address Detail
| Address | 121 W Kagy Blvd |
|---|---|
| City | Bozeman |
| State | Montana (MT) |
| Post Code | 597156000 |
| Phone Number | 4065877468 |
| Fax Number | 4065874520 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 202 |
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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 |
|---|---|---|---|
| 51011 | MT | BLUE CROSS - MSU | |
| 490807 | MT | -- | |
| 264349 | MT | NEW WEST | |
| 86-1155463 | MT | TRI CARE | |
| 52820 | MT | BLUE CROSS - PRIVATE PRAC |
Post Comment/ Review Below
What is the Cheryl Rae Blank's unique identification number?
The Cheryl Rae Blank has been assigned the NPI (National Provider Identifier) Number 1932221058 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Cheryl Rae Blank is located?
The Cheryl Rae Blank is situated at the following address: 121 W Kagy Blvd, Bozeman, MT, 597156000.
What is Cheryl Rae Blank's specialized field of practice, and what is the corresponding taxonomy classification code?
The Cheryl Rae Blank's area of specialization is Psychologist, and the corresponding taxonomy code that categorizes this field of practice is 103T00000X.
On what date did the Cheryl Rae Blank receive the assignment of its 1932221058 from the Centers for Medicare & Medicaid Services?
The Cheryl Rae Blank was issued its 1932221058 by the Centers for Medicare & Medicaid Services on 2007-04-06.
As of what date were the details related to Cheryl Rae Blank most recently updated or revised?
The information pertaining to Cheryl Rae Blank, including its address, specialty, and other relevant details, was last updated or revised on 2011-01-03.