Blue, John James
Blue, John James is an individual health care provider with primary practice located at 634 King Street , Pottstown PA 19464. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Blue, John James can be contacted via phone (610) 323-8866.Contact Information
Primary practice address
634 King Street
Pottstown PA 19464
Phone: (610) 323-8866
Fax: (610) 323-1406
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSD15479 | Pennsylvania |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PS015479 | Pennsylvania |
Profile Details
NPI number | 1477760338 |
---|---|
LBN Legal business name | Blue, John James |
Credentials | PSYD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 17th, 2007 |
Last updated | Jul 21st, 2022 - about 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1477760338 | NPPES |
Pennsylvania | Other | PSD15479 | STATE LICENSE |
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