Individual
MS. PAULETTE BLAIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
235 GOMPERS AVE, INDIANA, PA 15701-2129
(724) 349-9277
(724) 349-2112
Mailing address
235 GOMPERS AVE, INDIANA, PA 15701-2129
(724) 349-9277
(724) 349-2112
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS-005746-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
187649
VALUE OPTIONS
PA
01
—
410268
UPMC
PA
01
—
503297
HIGHMARK BCBS
PA
01
—
5192317
AETNA
PA
01
—
656562
PENNSYLVANIA BLUE SHIELD
PA
Enumeration date
10/18/2005
Last updated
03/11/2019
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