Mansfield-Blair, Karen
Mansfield-Blair, Karen is an sole proprietor health care provider with primary practice located at 15655 W Roosevelt St Suite 243, Goodyear AZ 85338-9282. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mansfield-Blair, Karen can be contacted via phone (623) 242-7393.Contact Information
Primary practice address
15655 W Roosevelt St Suite 243
Goodyear AZ 85338-9282
Phone: (623) 242-7393
Fax: (480) 659-7230
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 3950 | Arizona |
Profile Details
| NPI number | 1629469135 |
|---|---|
| LBN Legal business name | Mansfield-Blair, Karen |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 5th, 2015 |
| Last updated | Feb 5th, 2015 - about 10 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 | 1629469135 | NPPES |
| Arizona | Other | 3950 | STATE OF ARIZONA |
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