Blanton-Hubbard, Elise

Blanton-Hubbard, Elise is an individual health care provider with primary practice located at 1448 Josephine St Apt 2 , Berkeley CA 94703-1108. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mental Health, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is her primary health care specialty. Blanton-Hubbard, Elise can be contacted via phone (831) 277-8368.

Contact Information

Primary practice address
1448 Josephine St Apt 2 Berkeley CA 94703-1108
Phone: (831) 277-8368
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT-1656 Idaho
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT16845 California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mental Health 225XM0800X OT16845 California
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1184166316
LBN Legal business name Blanton-Hubbard, Elise
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2016
Last updated May 10th, 2023 - about last year

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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