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DR. AMY BLANCHARD PH.D.

Clinical >> Psychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1508134115

Individual Registrant:
DR. AMY  BLANCHARD PH.D.
Gender: F
Sole Proprietor

Location and contact information for practice:
20045 STEVENS CREEK BLVD SUITE D-2B CUPERTINO, CA 95014-2353 US
Tel: 650-823-1157  Fax: --

Contact information for business:
20045 STEVENS CREEK BLVD SUITE D-2B CUPERTINO, CA 95014-2353 US
Tel: 650-823-1157  Fax: --

Registration Information:
NPI: 1508134115
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103TC0700XBehavioral Health & Social Service Providers
Psychologist
Clinical
CAPSY 9701

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
CIGNA2813510CA01
AETNA4102980CA01
MANAGED HEALTH NETWORK76612CA01




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