Blust, Nicole L

Blust, Nicole L is an individual health care provider with primary practice located at 7755 Paragon Rd Suite 102, Dayton OH 45459-4055. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Blust, Nicole L can be contacted via phone (937) 567-7800.

Contact Information

Primary practice address
7755 Paragon Rd Suite 102 Dayton OH 45459-4055
Phone: (937) 567-7800
Fax: (937) 567-7808
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 6309 Ohio

Profile Details

NPI number 1659579803
LBN Legal business name Blust, Nicole L
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2007
Last updated Feb 1st, 2012 - about 13 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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