Tina L Bleau in S Burlington - Clinical Child & Adolescent

Tina L Bleau - NPI 1427110188

Tina L Bleau is a Clinical Child & Adolescent in S Burlington, Vermont. Tina L Bleau practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Tina L Bleau is 1427110188. The last update date is 2007-07-09.

Tina L Bleau's current location address is 30 Airport Rd, S Burlington, Vermont. You can contact this provider via phone number 8026583924 and fax number 8026580216. The mailing address for Tina L Bleau is 30 Airport Rd, S Burlington, Vermont. To know further, please read the information below!

Provider Profile Detail

Provider Name Tina L Bleau
Address 30 Airport Rd, S Burlington, Vermont
Phone Number 8026583924
Fax Number 8026580216
Sole Proprietor N
Credentials M.A.

NPI Number Detail

NPI Number 1427110188
Provider Enumeration Date 2006-12-15
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 30 Airport Rd
City S Burlington
State Vermont (VT)
Post Code 54036432
Phone Number 8026583924
Fax Number 8026580216

Provider's Primary Taxonomy Detail

Speciality Clinical Child & Adolescent
Taxonomy 103Tc2200X
Licence No 047-0000688
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
2252996 VT CIGNA PROVIDER NUMBER
48412 VT BC BS PROVIDER NUMBER
389998 VT MVP PROVIDER NUMBER
1011221 VT --

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FAQs about Tina L Bleau

What is the unique identifier code issued to Tina L Bleau by the Centers for Medicare & Medicaid Services?

The Tina L Bleau has been assigned the NPI (National Provider Identifier) 1427110188. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Tina L Bleau's facilities are geographically located?

The facilities of Tina L Bleau are physically situated at the following location: 30 Airport Rd, S Burlington, VT, 54036432.

What is Tina L Bleau's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Tina L Bleau is Clinical Child & Adolescent, and the taxonomy code that categorizes this field of expertise is 103Tc2200X.

When did the Tina L Bleau receive its 1427110188?

The Tina L Bleau was issued its 1427110188 on 2006-12-15, which is the date when the organization was assigned this unique identifier.

As of what date were the Tina L Bleau's details last updated?

The information pertaining to the Tina L Bleau, including its address, specialty, and other details, was most recently updated on 2007-07-09.

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