Individual
JONALYN BLAHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
NLC.0107232
CO
174400000X
Specialist
Primary
NLC.0107232
CO
Other
Enumeration date
02/21/2017
Last updated
03/17/2018
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