Individual
MS. KARIN E BLEECKER
Active
Individual
MS. KARIN E BLEECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS007210L
PA
103TC0700X
Clinical Psychologist
Primary
047.0097608
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BL748408
BC BS
—
Enumeration date
08/10/2005
Last updated
10/16/2013
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