Melissa M. Blair in Minneapolis - Clinical Child & Adolescent

Melissa M. Blair - NPI 1962570242

Melissa M. Blair is a Clinical Child & Adolescent in Minneapolis, Minnesota. Melissa M. Blair practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Melissa M. Blair is 1962570242. The last update date is 2022-11-10.

Melissa M. Blair's current location address is 3005 James Ave S, Minneapolis, Minnesota. You can contact this provider via phone number 6122272829 and fax number 6123777501. The mailing address for Melissa M. Blair is 3005 James Ave S, Minneapolis, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Melissa M. Blair
Address 3005 James Ave S, Minneapolis, Minnesota
Phone Number 6122272829
Fax Number 6123777501
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1962570242
Provider Enumeration Date 2006-12-02
Last Updated Date 2022-11-10

Provider Mailing Address Detail

Address 3005 James Ave S
City Minneapolis
State Minnesota (MN)
Post Code 554082589
Phone Number 6122272829
Fax Number 6123777501

Provider's Primary Taxonomy Detail

Speciality Clinical Child & Adolescent
Taxonomy 103Tc2200X
Licence No LP3550
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
40161700 MN --
6173818 MN MEDICA OR UBH
117T6NA OR 114T MN BLUE CROSS BLUE SHIELD
20258-11 MN BHP
141774 MN UCARE

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FAQs about Melissa M. Blair

What is the unique 10-digit identifier code assigned to Melissa M. Blair by the Centers for Medicare & Medicaid Services?

The Melissa M. Blair has been issued the NPI (National Provider Identifier) 1962570242 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Melissa M. Blair is located?

The Melissa M. Blair is situated at the following address: 3005 James Ave S, Minneapolis, MN, 554082589.

What is the area of specialization for Melissa M. Blair, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Melissa M. Blair is Clinical Child & Adolescent, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc2200X.

When did Melissa M. Blair receive its 1962570242 assignment?

The Melissa M. Blair was assigned its 1962570242 on 2006-12-02, which is the date when this unique identifier was issued to the organization.

As of what date were the details pertaining to Melissa M. Blair last refreshed?

The information related to the Melissa M. Blair, including its address, specialty, and other relevant details, was last updated on 2022-11-10.

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