Rebecca S Blakeman in Douglasville - Clinical Child & Adolescent

Rebecca S Blakeman - NPI 1679729412

Rebecca S Blakeman is a Clinical Child & Adolescent in Douglasville, Georgia. Rebecca S Blakeman practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Rebecca S Blakeman is 1679729412. The last update date is 2021-07-02.

Rebecca S Blakeman's current location address is 4643 Rabun Dr, Douglasville, Georgia. You can contact this provider via phone number 4043101161. The mailing address for Rebecca S Blakeman is 4643 Rabun Dr, Douglasville, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Rebecca S Blakeman
Address 4643 Rabun Dr, Douglasville, Georgia
Phone Number 4043101161
Fax Number
Sole Proprietor Y
Credentials PHD

NPI Number Detail

NPI Number 1679729412
Provider Enumeration Date 2008-08-12
Last Updated Date 2021-07-02

Provider Mailing Address Detail

Address 4643 Rabun Dr
City Douglasville
State Georgia (GA)
Post Code 301355827
Phone Number 4043101161
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical Child & Adolescent
Taxonomy 103Tc2200X
Licence No 2757
Definition:
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology

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FAQs about Rebecca S Blakeman

What is the unique provider identifier assigned to Rebecca S Blakeman?

The Rebecca S Blakeman has been issued the NPI (National Provider Identifier) 1679729412 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Rebecca S Blakeman?

The Rebecca S Blakeman is physically situated at 4643 Rabun Dr, in the city of Douglasville, state of GA, with the postal code 301355827.

What is Rebecca S Blakeman's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Rebecca S Blakeman's specialized field of practice is Clinical Child & Adolescent, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc2200X.

On what date was the 1679729412 assigned to Rebecca S Blakeman?

The Rebecca S Blakeman was issued its 1679729412 on 2008-08-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Rebecca S Blakeman most recently updated or refreshed?

The details pertaining to the Rebecca S Blakeman, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-07-02.

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