Individual
DR. MICHAEL JAMES BLANCHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
7230 HERITAGE VILLAGE PLZ, SUITE 102, GAINESVILLE, VA 20155-3053
(703) 498-8116
(703) 754-0311
Mailing address
7230 HERITAGE VILLAGE PLZ, SUITE 102, GAINESVILLE, VA 20155-3053
(703) 498-8116
(703) 754-0311
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810003434
VA
Other
Enumeration date
09/20/2006
Last updated
07/09/2007
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