Blancher, Adam Thomas

Blancher, Adam Thomas is an individual health care provider with primary practice located at 1450 Claiborne Ave , Shreveport LA 71103-4204. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Blancher, Adam Thomas can be contacted via phone (318) 813-2960.

Contact Information

Primary practice address
1450 Claiborne Ave Shreveport LA 71103-4204
Phone: (318) 813-2960
Fax: (318) 813-2989
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1266 Louisiana

Profile Details

NPI number 1497900187
LBN Legal business name Blancher, Adam Thomas
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2008
Last updated May 19th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497900187 NPPES
Louisiana MEDICAID 1174173

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