Individual
DR. REGINALD C. BLUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYCHOLOGIST
Contact information
Practice address
8300 HOUGH AVENUE, CLEVELAND, OH 44103-4247
(216) 231-7700
(216) 231-7920
Mailing address
8300 HOUGH AVENUE, CLEVELAND, OH 44103-4247
(216) 231-7700
(216) 231-7920
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2166
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2570221
—
OH
Enumeration date
07/28/2006
Last updated
11/08/2011
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