Blanck, Ticia Ann

Blanck, Ticia Ann is an sole proprietor health care provider with primary practice located at #70 Estes Ave. , White Salmon WA 98672. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Blanck, Ticia Ann can be contacted via phone (541) 490-7045.

Contact Information

Primary practice address
#70 Estes Ave. White Salmon WA 98672
Fax: (805) 544-1412
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY00003284 Washington

Profile Details

NPI number 1699941369
LBN Legal business name Blanck, Ticia Ann
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 2nd, 2008
Last updated May 2nd, 2008 - about 17 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.

Request for update

Popular Providers