Organization
F. RICHARD BLUE PHD
Active
Organization
F. RICHARD BLUE PHD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
F. RICHARD BLUE (PSYCHOLOGIST)
(404) 705-9770
Entity
Organization
Contact information
Practice address
6100 LAKE FORREST DR NW STE 510, ATLANTA, GA 30328-3837
(404) 705-9770
(404) 531-0517
Mailing address
6100 LAKE FORREST DR NW STE 510, ATLANTA, GA 30328-3837
(404) 705-9770
(404) 531-0517
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
515
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00480191B
—
GA
Enumeration date
03/19/2012
Last updated
03/19/2012
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