Individual
DR. RITA FAE BLESIUS
Active
Individual
DR. RITA FAE BLESIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD PSYCHOLOGIST
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
224033
TX
106H00000X
Marriage & Family Therapist
—
TX
163W00000X
Registered Nurse
24083
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002BT
TRICARE
—
Enumeration date
04/18/2007
Last updated
12/10/2009
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