Individual
DR. BRETT BLEVINS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PSY.ED
Contact information
Practice address
1228 N AUGUSTA ST, STAUNTON, VA 24401-3202
(540) 949-4202
(540) 886-7380
Mailing address
1228 N AUGUSTA ST, STAUNTON, VA 24401-3202
(540) 949-4202
(540) 886-7380
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810002188
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
265622
ANTHEM
VA
Enumeration date
05/17/2006
Last updated
07/09/2007
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